Individual
HONG-PHUC THI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1245 16TH ST, SUITE 204, SANTA MONICA, CA 90404-1235
(310) 319-4371
(310) 319-4141
Mailing address
1245 16TH ST, SUITE 204, SANTA MONICA, CA 90404-1235
(310) 319-4371
(310) 319-4141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A106085
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A106085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124285424
—
CA
Enumeration date
05/22/2008
Last updated
02/21/2014
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