Provider Demographics
NPI:1295895498
Name:TRAN, QUOC TIEN (MD)
Entity type:Individual
Prefix:
First Name:QUOC
Middle Name:TIEN
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1064 VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-1927
Mailing Address - Country:US
Mailing Address - Phone:760-435-0611
Mailing Address - Fax:866-268-6601
Practice Address - Street 1:23823 VALENCIA BLVD
Practice Address - Street 2:STE 220
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-9512
Practice Address - Country:US
Practice Address - Phone:661-253-2211
Practice Address - Fax:866-268-6601
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2017-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA76581207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine