Organization
BAO CONG TRAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAO CONG TRAN MD (PRESIDENT OF THE CORPORATION)
(909) 593-3388
Entity
Organization
Contact information
Practice address
175 W LA VERNE AVE, #D, POMONA, CA 91676-2332
(909) 593-3388
(909) 596-0518
Mailing address
175 W LA VERNE AVE, #D, POMONA, CA 91676-2332
(909) 593-3388
(909) 596-0518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A41661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0087500
—
CA
Enumeration date
01/07/2008
Last updated
01/07/2008
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