Provider Demographics
NPI:1669656831
Name:TRAN, MAN (DC, LAC, PHD)
Entity type:Individual
Prefix:DR
First Name:MAN
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:DC, LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 LANKERSHIM BLVD.
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601
Mailing Address - Country:US
Mailing Address - Phone:818-762-3155
Mailing Address - Fax:818-762-3157
Practice Address - Street 1:5016 LANKERSHIM BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-4222
Practice Address - Country:US
Practice Address - Phone:818-762-3155
Practice Address - Fax:818-762-3157
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 27551111N00000X
CAAC 9372171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist