Provider Demographics
NPI:1225350135
Name:TRAN, HOAI (PA-C)
Entity Type:Individual
Prefix:
First Name:HOAI
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1801 ORANGE TREE LN
Mailing Address - Street 2:STE 200
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4587
Mailing Address - Country:US
Mailing Address - Phone:909-557-1607
Mailing Address - Fax:909-557-1732
Practice Address - Street 1:259 TERRACINA BLVD
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4847
Practice Address - Country:US
Practice Address - Phone:909-793-2634
Practice Address - Fax:909-798-8749
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA20739363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant