| Thomas Thanh Tran, M.d., Inc. | |
|
5900 Brockton Ave Riverside CA 92506-1862 | |
| (951) 275-8400 | |
| (951) 272-9924 |
| Full Name | Thomas Thanh Tran, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5900 Brockton Ave, Riverside, California |
| Authorized Official Name and Position | Thomas Thanh Tran (PRESIDENT/OWNER) |
| Authorized Official Contact | 9498366912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Thanh Tran, M.d., Inc. 2316 Sageleaf Cir Corona CA 92882-2312 Ph: (949) 836-6912 | Thomas Thanh Tran, M.d., Inc. 5900 Brockton Ave Riverside CA 92506-1862 Ph: (951) 275-8400 |
| NPI Number | 1184925240 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 11/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184925240 | NPI | - | NPPES |
| 1710972997 | Medicaid | CA | |
| A85242 | Other | CA | CA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A85242 (California) | Primary |
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