Organization
TAN TRAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAN TRAN MD (GI)
(714) 855-6908
Entity
Organization
Contact information
Practice address
292 COTTAGE AVE, MANTECA, CA 95336-4942
(209) 239-4229
(209) 239-4209
Mailing address
PO BOX 2155, MANTECA, CA 95336-1159
(714) 855-6908
(209) 239-4209
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A69009
CA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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