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Organization
THOMAS THANH TRAN, M.D., INC.
Active
Organization
THOMAS THANH TRAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS THANH TRAN M.D. (PRESIDENT/OWNER)
(949) 836-6912
Entity
Organization
Contact information
Practice address
5900 BROCKTON AVE, RIVERSIDE, CA 92506-1862
(951) 275-8400
(951) 272-9924
Mailing address
2316 SAGELEAF CIR, CORONA, CA 92882-2312
(949) 836-6912
(951) 272-9924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A85242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710972997
—
CA
01
—
A85242
CA STATE LICENSE
CA
Enumeration date
11/05/2010
Last updated
11/05/2010
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