Provider Demographics
NPI:1427308345
Name:TRINH, LAM TIEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAM
Middle Name:TIEN
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 1:41750 WINCHESTER RD STE N
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-4898
Mailing Address - Country:US
Mailing Address - Phone:951-296-9074
Mailing Address - Fax:
Practice Address - Street 1:41750 WINCHESTER RD STE N
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4898
Practice Address - Country:US
Practice Address - Phone:951-296-9074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2016-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA647351835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist