| Thomas Thanh Tran, M.d., Inc. | |
|
800 S Main St Corona CA 92882-3420 | |
| (951) 278-5590 | |
| Not Available |
| Full Name | Thomas Thanh Tran, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 S Main St, Corona, California |
| Authorized Official Name and Position | Thomas Thanh Tran (OWNER) |
| Authorized Official Contact | 9512785590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Thanh Tran, M.d., Inc. Po Box 77790 Corona CA 92877-0126 Ph: (951) 278-5590 | Thomas Thanh Tran, M.d., Inc. 800 S Main St Corona CA 92882-3420 Ph: (951) 278-5590 |
| NPI Number | 1699926345 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 11/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699926345 | NPI | - | NPPES |
| 1710972997 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A85242 (California) | Primary |
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