Provider Demographics
NPI:1174677157
Name:TRAN, HANG NGOC (MD)
Entity Type:Individual
Prefix:
First Name:HANG
Middle Name:NGOC
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 EAST-WEST HIGHWAY
Mailing Address - Street 2:APT. 219
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-661-5025
Mailing Address - Fax:
Practice Address - Street 1:254 W HARVARD BLVD STE B
Practice Address - Street 2:
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-3920
Practice Address - Country:US
Practice Address - Phone:805-229-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2843208000000X
LA026182208000000X
MDD0063713208000000X
CAA106543208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176113201Medicaid
LA1054381Medicaid