=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598048662
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TRANG D TO RPH
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/24/2011
-----------------------------------------------------
Last Update Date | 09/24/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9031 ROSECRANS AVE
-----------------------------------------------------
City | BELLFLOWER
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90706-2046
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-531-1557
-----------------------------------------------------
Fax | 562-531-7215
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13466 LIBERTY WAY
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92683-2686
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-225-3438
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 56394
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------