Thien Phuoc Medical Center Inc | |
250 Hospital Cir Westminster CA 92683-3953 | |
(714) 622-5593 | |
(714) 622-4026 |
Full Name | Thien Phuoc Medical Center Inc |
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Speciality | General Practice |
Location | 250 Hospital Cir, Westminster, California |
Authorized Official Name and Position | Tran Tran (OWNER) |
Authorized Official Contact | 7146225593 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thien Phuoc Medical Center Inc 250 Hospital Cir Westminster CA 92683-3953 Ph: (714) 622-5593 | Thien Phuoc Medical Center Inc 250 Hospital Cir Westminster CA 92683-3953 Ph: (714) 622-5593 |
NPI Number | 1730851221 |
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Provider Enumeration Date | 10/02/2021 |
Last Update Date | 10/02/2021 |
Medicare PECOS PAC ID | 6901296037 |
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Medicare Enrollment ID | O20211206000294 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730851221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Tran Anh Tran |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1821106691 PECOS PAC ID: 7416856521 Enrollment ID: I20040107000963 |
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