Hai T Tran, MD | |
12611 Hesperia Rd, Suite A, Victorville, CA 92395-7720 | |
(760) 951-8714 | |
(760) 951-7134 |
Full Name | Hai T Tran |
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Gender | Male |
Speciality | Dermatology |
Location | 12611 Hesperia Rd, Victorville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093763104 | NPI | - | NPPES |
00G839050 | Medicaid | CA | |
G083905 | Other | CA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G083905 (California) | Primary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | G083905 (California) | Secondary |
Entity Name | Hai Tran, M.d., Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639366966 PECOS PAC ID: 0840244125 Enrollment ID: O20080710000795 |
Mailing Address | Practice Location Address |
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Hai T Tran, MD 12611 Hesperia Rd, Suite A, Victorville, CA 92395-7720 Ph: (760) 951-8714 | Hai T Tran, MD 12611 Hesperia Rd, Suite A, Victorville, CA 92395-7720 Ph: (760) 951-8714 |
Liza Gill, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12565 Hesperia Rd Ste 3, Victorville, CA 92395 Phone: 760-780-0003 Fax: 760-766-1908 | |
Keith Mark Gross, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12550 Hesperia Rd, 400, Victorville, CA 92395 Phone: 909-335-8638 Fax: 909-335-8644 |