Provider Demographics
NPI:1609003649
Name:CHINH TRAN CHIROPRACTIC , INC.
Entity Type:Organization
Organization Name:CHINH TRAN CHIROPRACTIC , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHINH
Authorized Official - Middle Name:THI
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:CHIROPRACTOR
Authorized Official - Phone:714-817-9223
Mailing Address - Street 1:1834 W LINCOLN AVE
Mailing Address - Street 2:SUITE Q
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5425
Mailing Address - Country:US
Mailing Address - Phone:714-817-9223
Mailing Address - Fax:714-817-9227
Practice Address - Street 1:1834 W LINCOLN AVE
Practice Address - Street 2:SUITE Q
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5425
Practice Address - Country:US
Practice Address - Phone:714-817-9223
Practice Address - Fax:714-817-9227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 24640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA69752Medicare UPIN