Vivian Vananh Tran, PT, DPT | |
439 Capron Ave, West Covina, CA 91792-2828 | |
(626) 377-8831 | |
Not Available |
Full Name | Vivian Vananh Tran |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 439 Capron Ave, West Covina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295550598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT304765 (California) | Primary |
Provider Name | California Luna Care Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
---|---|
Vivian Vananh Tran, PT, DPT 439 Capron Ave, West Covina, CA 91792-2828 Ph: (626) 377-8831 | Vivian Vananh Tran, PT, DPT 439 Capron Ave, West Covina, CA 91792-2828 Ph: (626) 377-8831 |
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