Provider Demographics
NPI:1871378851
Name:MINH TRAN CHIROPRACTIC, PC
Entity type:Organization
Organization Name:MINH TRAN CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MINH
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACNB
Authorized Official - Phone:559-824-2395
Mailing Address - Street 1:4010 MOORPARK AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95117-1842
Mailing Address - Country:US
Mailing Address - Phone:559-824-2395
Mailing Address - Fax:669-500-7395
Practice Address - Street 1:4010 MOORPARK AVE STE 109
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117-1842
Practice Address - Country:US
Practice Address - Phone:559-824-2395
Practice Address - Fax:669-500-7395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty