Provider Demographics
NPI:1003052739
Name:TRAN, NGOC-TRAM GIA (DO)
Entity Type:Individual
Prefix:
First Name:NGOC-TRAM
Middle Name:GIA
Last Name:TRAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3553 ATLANTIC AVE # 1140
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-5606
Mailing Address - Country:US
Mailing Address - Phone:562-424-4447
Mailing Address - Fax:877-486-1368
Practice Address - Street 1:2888 LONG BEACH BLVD STE 235
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1562
Practice Address - Country:US
Practice Address - Phone:562-803-2486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-31
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A12130207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB216845Medicare UPIN