MEDICARE: NAM TONG RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WI0500X	Infusion Therapy Registered Nurse	95033975	CA

General Provider Information

NPI Number	:	1952041642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAM TONG RN

Provider Business Mailing Address
First Line	:	4950 W SUNSET BLVD STE 581
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5821
Country	:	US
Telephone Number	:	323-783-5363
Fax Number	:

Provider Business Practice Location Address
First Line	:	4950 W SUNSET BLVD STE 581
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5821
Country	:	US
Telephone Number	:	323-783-5363
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2022
Last Update Date	:	03/30/2022

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Directions to “ NAM TONG RN” Practice Location

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