Doctor Name: | DR. PAUL NHAN-CHINH LUONG |
NPI Number: | 1558687798 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A109848 |
Business Practice Address: | 4601 Dale Rd Modesto, CA - 953569718 |
Business Phone Number: | 2093230942 |
Business Fax Number: | |
Mailing Address: | 2023 Westport St, MANTECA |
State: | CA |
Postal Code: | 953377970 |
Phone Number: | 2096654163 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2010 |
NPI Last Update Date: | 12/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | A109848 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |