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Organization
POSITIVE HEALTHY AGING, INC.
Active
Organization
POSITIVE HEALTHY AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER TRAN (PRESIDENT)
(949) 305-2660
Entity
Organization
Contact information
Practice address
23521 PASEO DE VALENCIA, SUITE 311, LAGUNA HILLS, CA 92653-3107
(949) 305-2660
(949) 305-2036
Mailing address
23521 PASEO DE VALENCIA, SUITE 311, LAGUNA HILLS, CA 92653-3107
(949) 305-2660
(949) 305-2036
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A85461
CA
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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