# TOANHUNGTRAN MD INC

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

## Provider details

- **NPI number:** 1932383924
- **Authorized official:** DR. TOAN HUNG TRAN M.D. (PRESIDENT)
- **Authorized official phone:** (209) 957-0641

## Contact information

- **Practice address:** 4545 GEORGETOWN PL, C 16, STOCKTON, CA 95207-6215
- **Practice address phone:** (209) 957-0641
- **Practice address fax:** (209) 957-0550
- **Mailing address:** 4545 GEORGETOWN PL, C 16, STOCKTON, CA 95207-6215
- **Mailing address phone:** (209) 957-0641
- **Mailing address fax:** (209) 957-0550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A37620 | CA | Yes |

## Other

- **Enumeration date:** 12/26/2007
- **Last updated:** 12/26/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A376200 | — | CA |