Basic Information
| Provider Information | |||||||||
| NPI: | 1215523246 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TO | ||||||||
| FirstName: | TRINH | ||||||||
| MiddleName: | TU | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LVN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 104 S ELECTRIC AVE APT A | ||||||||
| Address2: | |||||||||
| City: | ALHAMBRA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 918013177 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6263835283 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3244 E GREEN ST | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911073836 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6268443033 | ||||||||
| FaxNumber: | 6264499128 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2020 | ||||||||
| LastUpdateDate: | 12/27/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164X00000X | 711235 | CA | Y | Nursing Service Providers | Licensed Vocational Nurse |
No ID Information.