Provider Demographics
NPI:1720229099
Name:TRAN, NGOC N
Entity Type:Individual
Prefix:MRS
First Name:NGOC
Middle Name:N
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S MAIN ST
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4507
Mailing Address - Country:US
Mailing Address - Phone:714-955-6572
Mailing Address - Fax:714-543-4398
Practice Address - Street 1:500 S MAIN ST
Practice Address - Street 2:SUITE 1100
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4507
Practice Address - Country:US
Practice Address - Phone:714-955-6572
Practice Address - Fax:714-543-4398
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator