Provider Demographics
NPI:1164432803
Name:TRAN, YOUNG T (MD)
Entity Type:Individual
Prefix:MS
First Name:YOUNG
Middle Name:T
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:328 SOUTH 1ST STREET
Mailing Address - Street 2:SUITE F-G
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801
Mailing Address - Country:US
Mailing Address - Phone:626-457-6333
Mailing Address - Fax:626-457-1933
Practice Address - Street 1:328 SOUTH 1ST STREET
Practice Address - Street 2:SUITE F-G
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801
Practice Address - Country:US
Practice Address - Phone:626-457-6333
Practice Address - Fax:626-457-1933
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2011-01-05
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Provider Licenses
StateLicense IDTaxonomies
CAA66589208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A665890Medicaid
CAWA68589AMedicare ID - Type Unspecified
CA00A665890Medicaid