# NICHOLAS THANH QUANG TRAN MD A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013277763
- **Authorized official:** NICHOLAS TRAN (PRESIDENT)
- **Authorized official phone:** (714) 531-6969

## Contact information

- **Practice address:** 15651 BROOKHURST ST, WESTMINSTER, CA 92683-7556
- **Practice address phone:** (714) 531-6969
- **Mailing address:** 15651 BROOKHURST ST, WESTMINSTER, CA 92683-7556
- **Mailing address phone:** (714) 531-6969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A67914 | CA | Yes |

## Other

- **Enumeration date:** 05/29/2012
- **Last updated:** 06/13/2012