Individual
TANAKA NHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 MELBOURNE PL, RIVERSIDE, CA 92508-6055
(951) 367-9657
Mailing address
5310 MELBOURNE PL, RIVERSIDE, CA 92508-6055
(951) 367-9657
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/30/2026
Last updated
07/31/2026
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