| Tran Medical Clinic Inc | |
|
2899 Senter Road Suite 140 San Jose CA 95111-4601 | |
| (408) 281-3889 | |
| (408) 281-3892 |
| Full Name | Tran Medical Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2899 Senter Road, San Jose, California |
| Authorized Official Name and Position | Khanh Cong Tran (CEO) |
| Authorized Official Contact | 4082813998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tran Medical Clinic Inc 2899 Senter Road Suite 140 San Jose CA 95111-4601 Ph: (408) 281-3889 | Tran Medical Clinic Inc 2899 Senter Road Suite 140 San Jose CA 95111-4601 Ph: (408) 281-3889 |
| NPI Number | 1699749747 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 07/20/2007 |
| Medicare PECOS PAC ID | 7113953019 |
|---|---|
| Medicare Enrollment ID | O20050712000927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699749747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A8238 (California) | Secondary |
| 207R00000X | Internal Medicine | A68365 (California) | Primary |
| 208D00000X | General Practice | A52085 (California) | Secondary |
| Provider Name | Khanh C Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124093133 PECOS PAC ID: 2769573369 Enrollment ID: I20070810000815 |
| Provider Name | Don D Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881688950 PECOS PAC ID: 0143374090 Enrollment ID: I20090812000467 |
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