Provider Demographics
NPI:1679766117
Name:TRAM, BICH N (CRNA, MSN)
Entity Type:Individual
Prefix:
First Name:BICH
Middle Name:N
Last Name:TRAM
Suffix:
Gender:F
Credentials:CRNA, MSN
Other - Prefix:
Other - First Name:BICH
Other - Middle Name:N
Other - Last Name:TRAM-DUONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA, MSN
Mailing Address - Street 1:5 HOLLAND STE 101
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2568
Mailing Address - Country:US
Mailing Address - Phone:949-588-2190
Mailing Address - Fax:949-588-2199
Practice Address - Street 1:9674 ARCHIBALD AVE STE 125
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-7944
Practice Address - Country:US
Practice Address - Phone:909-296-8930
Practice Address - Fax:909-296-8935
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA580791163W00000X
CA3203367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA166207 (RV)Medicare PIN
CAFO117Y (LA)Medicare PIN
CACB240958 (OC)Medicare PIN
CAFO117Z (SB)Medicare PIN