Provider Demographics
NPI:1942338850
Name:VU A TRAN, MD MEDICAL CORPORATION
Entity Type:Organization
Organization Name:VU A TRAN, MD MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VU
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-332-8561
Mailing Address - Street 1:4710 HOEN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-7887
Mailing Address - Country:US
Mailing Address - Phone:707-339-8299
Mailing Address - Fax:707-962-8210
Practice Address - Street 1:4710 HOEN AVE STE B
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-7887
Practice Address - Country:US
Practice Address - Phone:707-339-8299
Practice Address - Fax:707-962-8210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZR00174FOtherGROUPONE
CAZZZ51167ZOtherGROUPONE
CA=========Medicare Oscar/Certification
CA00A794564Medicare Oscar/Certification