Individual
LOAN NGOC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 TAYLOR BLVD STE 105, PLEASANT HILL, CA 94523-2114
(925) 435-1105
(925) 677-5011
Mailing address
1450 TREAT BLVD STE 300, WALNUT CREEK, CA 94597-2168
(925) 952-2828
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G75743
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G757430
BLUE SHIELD
CA
05
—
00G757430
—
CA
Enumeration date
11/18/2005
Last updated
11/14/2022
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