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1962642892 NPI number — VAN THUAN PHAT

NPI Number: 1962642892
Health Care Provider/Practitioner: VAN THUAN PHAT

Information about “1962642892” NPI (VAN THUAN PHAT) exists in 1962642892 in HTML format HTML  |  1962642892 in plain Text format TXT  |  1962642892 in PDF (Portable Document Format) PDF  |  1962642892 in an XML format XML  formats.

NPI Number : 1962642892 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962642892",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "USA TULIP INTERNATIONAL INC",
    "ParentOrgTIN": null,
    "OrgName": "VAN THUAN PHAT",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "825 E ANAHEIM ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONG BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90813-3550",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-599-5795",
    "MailingAddressFaxNumber": "562-599-5795",
    "FirstLinePracticeLocationAddress": "825 E ANAHEIM ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LONG BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90813-3550",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-599-5795",
    "PracticeLocationAddressFaxNumber": "562-599-5795",
    "EnumerationDate": "03/05/2009",
    "LastUpdateDate": "03/05/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "QIN",
    "AuthorizedOfficialFirstName": "GUOYUAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DOCTOR/PHD",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "626-377-1353",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261Q00000X",
        "TaxonomyName": "Clinic/Center",
        "LicenseNumber": "AC 11575",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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