| Khai Quan Tran, M.d., Inc | |
|
15068 Moran St Westminster CA 92683-6505 | |
| (714) 897-3690 | |
| (714) 897-8108 |
| Full Name | Khai Quan Tran, M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 15068 Moran St, Westminster, California |
| Authorized Official Name and Position | Khai Q Tran (PRESIDENT) |
| Authorized Official Contact | 7149639304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khai Quan Tran, M.d., Inc 15068 Moran St Westminster CA 92683-6505 Ph: (714) 897-3690 | Khai Quan Tran, M.d., Inc 15068 Moran St Westminster CA 92683-6505 Ph: (714) 897-3690 |
| NPI Number | 1225209810 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 08/30/2011 |
| Medicare PECOS PAC ID | 0345314720 |
|---|---|
| Medicare Enrollment ID | O20080801000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225209810 | NPI | - | NPPES |
| A100786 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A100786 (California) | Primary |
| Provider Name | Khai Q. Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366633067 PECOS PAC ID: 9133218910 Enrollment ID: I20071130000597 |
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