Provider Demographics
NPI:1821072877
Name:TRAN, NHON (MD)
Entity Type:Individual
Prefix:
First Name:NHON
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14082 MAGNOLIA ST.
Mailing Address - Street 2:109
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4764
Mailing Address - Country:US
Mailing Address - Phone:714-895-8583
Mailing Address - Fax:714-895-8625
Practice Address - Street 1:14082 MAGNOLIA ST.
Practice Address - Street 2:109
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4764
Practice Address - Country:US
Practice Address - Phone:714-895-8583
Practice Address - Fax:714-895-8625
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-02
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51138207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA51138Medicaid
CAA51138Medicaid
CAF70812Medicare UPIN
F70812Medicare UPIN