Provider Demographics
NPI:1508963398
Name:LOANNE B. TRAN, MD INC.
Entity Type:Organization
Organization Name:LOANNE B. TRAN, MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LOANNE
Authorized Official - Middle Name:BICH
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH & TM
Authorized Official - Phone:626-446-0810
Mailing Address - Street 1:624 W DUARTE RD STE 205
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-9260
Mailing Address - Country:US
Mailing Address - Phone:626-446-0810
Mailing Address - Fax:626-254-9879
Practice Address - Street 1:624 W DUARTE RD STE 205
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9260
Practice Address - Country:US
Practice Address - Phone:626-446-0810
Practice Address - Fax:626-254-9879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63084207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A630840Medicaid
CA1508963398OtherNPI
CA00A630840Medicaid
CA1508963398Medicare NSC