Provider Demographics
NPI:1447340070
Name:TOAN Q. TRAN, M.D. , INC.
Entity type:Organization
Organization Name:TOAN Q. TRAN, M.D. , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D./PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOAN
Authorized Official - Middle Name:QUOC
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-379-0199
Mailing Address - Street 1:7631 WYOMING ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3904
Mailing Address - Country:US
Mailing Address - Phone:714-379-0199
Mailing Address - Fax:714-379-0188
Practice Address - Street 1:7631 WYOMING ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3904
Practice Address - Country:US
Practice Address - Phone:714-379-0199
Practice Address - Fax:714-379-0188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA39066207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A390660Medicare ID - Type Unspecified