# TIMOTHY THIEN TRAN MD INC

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

## Provider details

- **NPI number:** 1699129916
- **Authorized official:** TIMOTHY THIEN TRAN MD (PRESIDENT)
- **Authorized official phone:** (714) 823-0361

## Contact information

- **Practice address:** 12302 GARDEN GROVE BLVD STE 7, GARDEN GROVE, CA 92843-1833
- **Practice address phone:** (714) 823-0361
- **Practice address fax:** (951) 680-1606
- **Mailing address:** 12302 GARDEN GROVE BLVD STE 7, GARDEN GROVE, CA 92843-1833
- **Mailing address phone:** (714) 823-0361
- **Mailing address fax:** (951) 680-1606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A123698 | CA | Yes |

## Other

- **Enumeration date:** 04/22/2016
- **Last updated:** 04/22/2016