Provider Demographics
NPI:1033204011
Name:TRAN, DUC NGOC (DO)
Entity Type:Individual
Prefix:DR
First Name:DUC
Middle Name:NGOC
Last Name:TRAN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:9091 EDINGER AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7458
Mailing Address - Country:US
Mailing Address - Phone:714-531-4616
Mailing Address - Fax:714-531-4617
Practice Address - Street 1:9091 EDINGER AVE
Practice Address - Street 2:SUITE A
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-7458
Practice Address - Country:US
Practice Address - Phone:714-531-4616
Practice Address - Fax:714-531-4617
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2014-10-28
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Provider Licenses
StateLicense IDTaxonomies
CA20A6642207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW20A6642DMedicare PIN