Provider Demographics
NPI:1598781346
Name:TRAN, JAMES VIET (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:VIET
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15623 BROOKHURST ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7556
Mailing Address - Country:US
Mailing Address - Phone:714-531-9555
Mailing Address - Fax:714-210-1477
Practice Address - Street 1:15623 BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-7556
Practice Address - Country:US
Practice Address - Phone:714-531-9555
Practice Address - Fax:714-210-1477
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG83026207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G830260Medicaid
CA00G830260Medicaid
CAG69707Medicare UPIN