Provider Demographics
NPI:1538137054
Name:TRAN, MINOU P (MD)
Entity Type:Individual
Prefix:
First Name:MINOU
Middle Name:P
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MINOU
Other - Middle Name:P
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
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 1:9315 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-5424
Practice Address - Country:US
Practice Address - Phone:562-923-5800
Practice Address - Fax:562-923-5810
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68773207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA68773Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
CAI33652Medicare UPIN