Organization
T. VAN, MD PROF. MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THIEN VAN MD (MEDICAL DIRECTOR)
(626) 255-9311
Entity
Organization
Contact information
Practice address
1016 N D ST, SAN BERNARDINO, CA 92410-3522
(626) 255-9311
(909) 752-5245
Mailing address
1016 N D ST, SAN BERNARDINO, CA 92410-3522
(626) 255-9311
(909) 752-5245
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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