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Organization
THANH N TRAN A PROF CORP
Active
Organization
THANH N TRAN A PROF CORP
Active
Other names
California Liberty Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THANH N TRAN MD (PRESIDENT DIRECTOR)
(323) 564-5805
Entity
Organization
Contact information
Practice address
8426 CALIFORNIA AVE, SOUTH GATE, CA 90280
(323) 564-5805
(323) 564-1670
Mailing address
8426 CALIFORNIA AVE, SOUTH GATE, CA 90280
(323) 564-5805
(323) 564-1670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A7502
CA
207Q00000X
Family Medicine Physician
Primary
A75777
CA
208000000X
Pediatrics Physician
A40326
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A403260
—
CA
01
—
GR0055100
MEDICAL PROVIDER GROUP
—
Enumeration date
02/15/2007
Last updated
09/11/2025
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