Provider Demographics
NPI:1790225597
Name:TON, TRAMANH N
Entity Type:Individual
Prefix:DR
First Name:TRAMANH
Middle Name:N
Last Name:TON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 S CASITA ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-4768
Mailing Address - Country:US
Mailing Address - Phone:714-675-0453
Mailing Address - Fax:949-438-6044
Practice Address - Street 1:714 S CASITA ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-4768
Practice Address - Country:US
Practice Address - Phone:714-675-0453
Practice Address - Fax:949-438-6044
Is Sole Proprietor?:No
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 59598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH 59598OtherBOARD OF PHARMACY PHARMACY LICENSE