Provider Demographics
NPI:1093936403
Name:LE, NGUYEN, TRAM, NGUYEN & TRAN MEDICAL CORPORATION
Entity Type:Organization
Organization Name:LE, NGUYEN, TRAM, NGUYEN & TRAN MEDICAL CORPORATION
Other - Org Name:ST. PAUL WESTMINSTER MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUAN
Authorized Official - Middle Name:DUY
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-531-2220
Mailing Address - Street 1:15355 BROOKHURST ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7077
Mailing Address - Country:US
Mailing Address - Phone:714-531-2220
Mailing Address - Fax:714-531-1164
Practice Address - Street 1:15355 BROOKHURST ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-7077
Practice Address - Country:US
Practice Address - Phone:714-531-2220
Practice Address - Fax:714-531-1164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty