Provider Demographics
NPI:1467752378
Name:TRAN, NGOC BOI (RPH)
Entity Type:Individual
Prefix:MS
First Name:NGOC
Middle Name:BOI
Last Name:TRAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8396 TERRANOVA CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-7644
Mailing Address - Country:US
Mailing Address - Phone:310-541-1915
Mailing Address - Fax:310-265-8374
Practice Address - Street 1:7 PENINSULA CTR
Practice Address - Street 2:
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3506
Practice Address - Country:US
Practice Address - Phone:310-541-1915
Practice Address - Fax:310-265-8374
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist