Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | A153114 | CA |
NPI | 1306157094 |
---|---|
Provider Name | Dr. Chi Tonglien Viet |
First Address | Loma Linda, CA 92350-1706 |
Second Address | Loma Linda, CA 92350-6402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 31/10/2019 |