Provider Demographics
NPI:1265515704
Name:TRAN, ROBERT H (MD)
Entity type:Individual
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First Name:ROBERT
Middle Name:H
Last Name:TRAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1760 TERMINO AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-2105
Mailing Address - Country:US
Mailing Address - Phone:562-933-6900
Mailing Address - Fax:562-933-8557
Practice Address - Street 1:1760 TERMINO AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-2105
Practice Address - Country:US
Practice Address - Phone:562-933-6900
Practice Address - Fax:562-933-8557
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2008-12-11
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Provider Licenses
StateLicense IDTaxonomies
CAA730842080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A730840Medicaid
CA00A730840Medicaid