Doctor Name: | DU QUANG TRAN |
NPI Number: | 1841216801 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A51921 |
Business Practice Address: | 10090 Westminster Ave Garden Grove, CA - 92843 |
Business Phone Number: | 7145901682 |
Business Fax Number: | 7145901778 |
Mailing Address: | 10090 Westminster Ave, GARDEN GROVE |
State: | CA |
Postal Code: | 92843 |
Phone Number: | 7145901682 |
Fax Number: | 7145901778 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 12/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A51921 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |