| Tran Family Medical Clinic, Inc. | |
|
1714 N Bush St Santa Ana CA 92706-2812 | |
| (714) 541-8883 | |
| (714) 541-8882 |
| Full Name | Tran Family Medical Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1714 N Bush St, Santa Ana, California |
| Authorized Official Name and Position | Anh C Tran (MEDICAL DOCTOR) |
| Authorized Official Contact | 7145418883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tran Family Medical Clinic, Inc. 1714 N Bush St Santa Ana CA 92706-2812 Ph: (714) 541-8883 | Tran Family Medical Clinic, Inc. 1714 N Bush St Santa Ana CA 92706-2812 Ph: (714) 541-8883 |
| NPI Number | 1972776540 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 04/17/2009 |
| Medicare PECOS PAC ID | 6406845205 |
|---|---|
| Medicare Enrollment ID | O20040507000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972776540 | NPI | - | NPPES |
| W17158 | Other | CA | MEDICARE PTAN |
| A79019 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A79019 (California) | Primary |
| Provider Name | Anh Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417044785 PECOS PAC ID: 0749279552 Enrollment ID: I20040510000325 |
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