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Individual

BA NGOC TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3530 WEST POMONA BLVD, PONOMA, CA 91769-0100
(909) 595-1221
Mailing address
2119 GENERAL STREET, RANCHO PALOS VERDES, CA 90275
(916) 654-2431
(916) 654-3186

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A42182
CA
208D00000X
General Practice Physician
A42182
CA

Other

Enumeration date
05/31/2006
Last updated
04/03/2012
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