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BA NGOC TRAN MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1134166382

Individual Registrant:
 BA NGOC TRAN MD
Gender: M
Sole Proprietor

Location and contact information for practice:
3530 WEST POMONA BLVD  PONOMA, CA 91769-0100 US
Tel: 909-595-1221  Fax: --

Contact information for business:
2119 GENERAL STREET  RANCHO PALOS VERDES, CA 90275 US
Tel: 916-654-2431  Fax: 916-654-3186

Registration Information:
NPI: 1134166382
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAA42182
N208D00000XAllopathic & Osteopathic Physicians
General Practice
CAA42182

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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