Provider Demographics
NPI:1821650185
Name:TRAN, QUOC MINH (DO)
Entity type:Individual
Prefix:DR
First Name:QUOC
Middle Name:MINH
Last Name:TRAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12811 COVEY CIR
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-5935
Mailing Address - Country:US
Mailing Address - Phone:209-536-5196
Mailing Address - Fax:
Practice Address - Street 1:12811 COVEY CIR
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-5935
Practice Address - Country:US
Practice Address - Phone:095-365-1962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-07
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMDO.82278207Q00000X
CA20A23693207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine