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Organization

PCG MEDICAL INSTITUTE CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES PHUONG MINH TRAN MD (CHIEF OPERATION OFFICER)
(714) 342-5398
Entity
Organization

Contact information

Practice address
11922 SEACREST DR STE E, GARDEN GROVE, CA 92840-1937
(657) 667-0078
(209) 348-5005
Mailing address
11922 SEACREST DR STE E, GARDEN GROVE, CA 92840-1937
(657) 667-0078
(209) 348-5005

Taxonomy

Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RA0401X
Addiction Medicine (Internal Medicine) Physician
208100000X
Physical Medicine & Rehabilitation Physician

Other

Enumeration date
10/25/2023
Last updated
10/25/2023
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