Provider Demographics
NPI:1508959396
Name:TRINH M DOAN, INC.
Entity Type:Organization
Organization Name:TRINH M DOAN, INC.
Other - Org Name:PHYSICAL & POOL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRINH
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:562-928-6694
Mailing Address - Street 1:PO BOX 676
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241
Mailing Address - Country:US
Mailing Address - Phone:562-865-2400
Mailing Address - Fax:562-865-2405
Practice Address - Street 1:10802 ALONDRA BLVD
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-1502
Practice Address - Country:US
Practice Address - Phone:562-865-2400
Practice Address - Fax:562-865-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24922225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q58771Medicare UPIN