Provider Demographics
NPI:1326326422
Name:TRANG, ANH (LAC)
Entity Type:Individual
Prefix:MR
First Name:ANH
Middle Name:
Last Name:TRANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7106 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-3052
Mailing Address - Country:US
Mailing Address - Phone:619-319-7705
Mailing Address - Fax:
Practice Address - Street 1:7400 EL CAJON BLVD STE 206
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-7416
Practice Address - Country:US
Practice Address - Phone:619-319-7705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13807171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist