Jennifer Tran Do, Inc. | |
445 Marine View Ave Ste 300 Del Mar CA 92014-3926 | |
(858) 740-7087 | |
(858) 997-2591 |
Full Name | Jennifer Tran Do, Inc. |
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Speciality | Family Medicine |
Location | 445 Marine View Ave Ste 300, Del Mar, California |
Authorized Official Name and Position | Jennifer Tran (OWNER) |
Authorized Official Contact | 8587407087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jennifer Tran Do, Inc. Po Box 90544 San Diego CA 92169-2544 Ph: (858) 740-7087 | Jennifer Tran Do, Inc. 445 Marine View Ave Ste 300 Del Mar CA 92014-3926 Ph: (858) 740-7087 |
NPI Number | 1255737409 |
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Provider Enumeration Date | 11/17/2014 |
Last Update Date | 11/28/2022 |
Medicare PECOS PAC ID | 6507156296 |
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Medicare Enrollment ID | O20160608002214 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255737409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A6643 (California) | Primary |
Provider Name | Jennifer T Tran |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689794711 PECOS PAC ID: 5597823856 Enrollment ID: I20081015000550 |
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