| Thien An Medical Center, Inc | |
|
12541 Brookhurst St Ste 101 Garden Grove CA 92840-4858 | |
| (714) 899-3498 | |
| (714) 899-3493 |
| Full Name | Thien An Medical Center, Inc |
|---|---|
| Speciality | General Practice |
| Location | 12541 Brookhurst St Ste 101, Garden Grove, California |
| Authorized Official Name and Position | Tran A Tran (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7148993498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thien An Medical Center, Inc 12541 Brookhurst St Ste 101 Garden Grove CA 92840-4858 Ph: (714) 899-3498 | Thien An Medical Center, Inc 12541 Brookhurst St Ste 101 Garden Grove CA 92840-4858 Ph: (714) 899-3498 |
| NPI Number | 1891945846 |
|---|---|
| Provider Enumeration Date | 09/26/2008 |
| Last Update Date | 09/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891945846 | NPI | - | NPPES |
| FNP37191 | Other | CA | PERMIT NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A37306 (California) | Primary |
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