Provider Demographics
NPI:1720274731
Name:BAO Q. TRAN, MD, INC.
Entity Type:Organization
Organization Name:BAO Q. TRAN, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BAO
Authorized Official - Middle Name:Q
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-336-1264
Mailing Address - Street 1:2901 W MACARTHUR BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6910
Mailing Address - Country:US
Mailing Address - Phone:714-210-2340
Mailing Address - Fax:714-210-2622
Practice Address - Street 1:2901 W MACARTHUR BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6910
Practice Address - Country:US
Practice Address - Phone:714-210-2340
Practice Address - Fax:714-210-2622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90007261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty