# THIEN AN MEDICAL CENTER, INC

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

## Provider details

- **NPI number:** 1891945846
- **Authorized official:** TRAN A TRAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (714) 899-3498

## Contact information

- **Practice address:** 12541 BROOKHURST ST STE 101, GARDEN GROVE, CA 92840-4858
- **Practice address phone:** (714) 899-3498
- **Practice address fax:** (714) 899-3493
- **Mailing address:** 12541 BROOKHURST ST STE 101, GARDEN GROVE, CA 92840-4858
- **Mailing address phone:** (714) 899-3498
- **Mailing address fax:** (714) 899-3493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A37306 | CA | Yes |

## Other

- **Enumeration date:** 09/26/2008
- **Last updated:** 09/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | FNP37191 | PERMIT NUMBER | CA |