Provider Demographics
NPI:1356741441
Name:TRINH, BAO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BAO
Middle Name:
Last Name:TRINH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13331 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-9206
Mailing Address - Country:US
Mailing Address - Phone:714-799-0039
Mailing Address - Fax:714-799-0069
Practice Address - Street 1:13331 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-9206
Practice Address - Country:US
Practice Address - Phone:714-799-0039
Practice Address - Fax:714-799-0069
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67036183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist