Provider Demographics
NPI:1851534655
Name:ALFORJA, LAN HOANG (NP)
Entity Type:Individual
Prefix:MRS
First Name:LAN
Middle Name:HOANG
Last Name:ALFORJA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6659 SYCAMORE CANYON BLVD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-0733
Mailing Address - Country:US
Mailing Address - Phone:951-697-3275
Mailing Address - Fax:951-697-3267
Practice Address - Street 1:6659 SYCAMORE CANYON BLVD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-0733
Practice Address - Country:US
Practice Address - Phone:951-697-3275
Practice Address - Fax:951-697-3267
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP18435363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMN1941106OtherDEA REGISTRATION NUMBER