Individual
KELLY THAO TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12032 FAIRCHILD ST, GARDEN GROVE, CA 92845-1529
(714) 249-5050
Mailing address
12032 FAIRCHILD ST, GARDEN GROVE, CA 92845-1529
(714) 249-5050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
770299
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
NP95003689
CA
Other
Enumeration date
02/04/2016
Last updated
12/16/2025
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