# NORTH COAST MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Michael Tran MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932305968
- **Authorized official:** DR. MICHAEL L TRAN MD (OWNER DOCTOR)
- **Authorized official phone:** (707) 546-7979

## Contact information

- **Practice address:** 2465 SUMMERFIELD RD, SANTA ROSA, CA 95405-7815
- **Practice address phone:** (707) 546-7979
- **Practice address fax:** (707) 546-7667
- **Mailing address:** 4704 HOEN AVENUE, SANTA ROSA, CA 95405
- **Mailing address phone:** (707) 546-7979
- **Mailing address fax:** (707) 546-7667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | CA | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | G085353 | CA | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/26/2007
- **Last updated:** 06/08/2015
