Organization
PHYSICIAN AT HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VU D TRAN MD (MD/PRESIDENT)
(714) 496-4207
Entity
Organization
Contact information
Practice address
7923 GARDEN GROVE BLVD, GARDEN GROVE, CA 92841-4225
(714) 596-0368
(714) 591-8265
Mailing address
5907 CERRITOS AVE UNIT 2325, CYPRESS, CA 90630-8716
(714) 799-5858
(714) 799-7272
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A138753
LICENSE
CA
Enumeration date
11/11/2019
Last updated
03/20/2023
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