Provider Demographics
NPI:1295850543
Name:MINOU P TRAN, M.D., F.A.C.E., INC.
Entity Type:Organization
Organization Name:MINOU P TRAN, M.D., F.A.C.E., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MINOU
Authorized Official - Middle Name:P
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-923-5800
Mailing Address - Street 1:9315 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-5424
Mailing Address - Country:US
Mailing Address - Phone:562-923-5800
Mailing Address - Fax:562-923-5810
Practice Address - Street 1:8317 DAVIS ST SUITE B
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4918
Practice Address - Country:US
Practice Address - Phone:562-923-5800
Practice Address - Fax:562-923-5810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68773207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A687730Medicaid
CA05D1047688OtherCLIA
8753936OtherMEDICAL PIN
CA1538137054OtherNPI TYPE-1