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Individual
KIET VAN TRAN
Active
Individual
KIET VAN TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C, L.AC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
31949
CA
171100000X
Acupuncturist
15464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FH635A
MEDICARE ID
CA
Enumeration date
05/23/2011
Last updated
06/07/2022
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