| Duc Tran Do Inc | |
|
9559 Bolsa Ave Suite A Westminster CA 92683 | |
| (714) 531-4616 | |
| (714) 531-4617 |
| Full Name | Duc Tran Do Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9559 Bolsa Ave, Westminster, California |
| Authorized Official Name and Position | Duc Ngoc Tran (PRESIDENT) |
| Authorized Official Contact | 7145314646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duc Tran Do Inc 9559 Bolsa Ave Suite A Westminster CA 92683 Ph: (714) 531-4616 | Duc Tran Do Inc 9559 Bolsa Ave Suite A Westminster CA 92683 Ph: (714) 531-4616 |
| NPI Number | 1689762817 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 02/25/2009 |
| Medicare PECOS PAC ID | 7315003332 |
|---|---|
| Medicare Enrollment ID | O20090326000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689762817 | NPI | - | NPPES |
| W20387 | Other | CA | PTAN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6642 (California) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 20A6642 (California) | Primary |
| Provider Name | Duc N Tran |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1033204011 PECOS PAC ID: 2961504089 Enrollment ID: I20090326000576 |
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