| Timothy Thien Tran Md Inc | |
|
12302 Garden Grove Blvd Ste 7 Garden Grove CA 92843-1833 | |
| (714) 823-0361 | |
| (951) 680-1606 |
| Full Name | Timothy Thien Tran Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 12302 Garden Grove Blvd Ste 7, Garden Grove, California |
| Authorized Official Name and Position | Timothy Thien Tran (PRESIDENT) |
| Authorized Official Contact | 7148230361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Thien Tran Md Inc 12302 Garden Grove Blvd Ste 7 Garden Grove CA 92843-1833 Ph: (714) 823-0361 | Timothy Thien Tran Md Inc 12302 Garden Grove Blvd Ste 7 Garden Grove CA 92843-1833 Ph: (714) 823-0361 |
| NPI Number | 1699129916 |
|---|---|
| Provider Enumeration Date | 04/22/2016 |
| Last Update Date | 04/22/2016 |
| Medicare PECOS PAC ID | 4587944103 |
|---|---|
| Medicare Enrollment ID | O20161216001055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699129916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A123698 (California) | Primary |
| Provider Name | Timothy Thien Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336460914 PECOS PAC ID: 9436373859 Enrollment ID: I20140604002353 |
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