Dr Lien Q Tran, DO | |
55 N Wolfe Ave, 412th Amds, Bldg 3925, Edwards Afb, CA 93524-6200 | |
(661) 277-1130 | |
(661) 277-0688 |
Full Name | Dr Lien Q Tran |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 55 N Wolfe Ave, Edwards Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912283318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 20A12022 (California) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 20A12022 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Lien Q Tran, DO 55 N Wolfe Ave, 412th Amds, Bldg 3925, Edwards Afb, CA 93524-6200 Ph: (661) 277-1130 | Dr Lien Q Tran, DO 55 N Wolfe Ave, 412th Amds, Bldg 3925, Edwards Afb, CA 93524-6200 Ph: (661) 277-1130 |
Dr. James Randall Elliott, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 95 Amds/sgp, 55 N. Wolfe Ave., Edwards Afb, CA 93524 Phone: 661-277-1130 Fax: 661-277-0688 | |
Dr. James Michael Medeiros, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 Nightingale Rd Bldg 5525, Edwards Afb, CA 93524 Phone: 661-275-2750 |