Individual
NHA PHONG TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 K STREET, SUITE 502, SACRAMENTO, CA 95816-5119
(916) 733-4400
Mailing address
511 GRANGER TER APT 2, SUNNYVALE, CA 94087-4515
(714) 331-4142
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A106513
CA
390200000X
Student in an Organized Health Care Education/Training Program
LL1815
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL1815
LV MEDICAL LIC
NV
Enumeration date
07/10/2007
Last updated
09/24/2015
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