Individual
HONG T TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 BROCKTON AVE STE 319, RIVERSIDE, CA 92501-4027
(951) 384-7422
(951) 367-0102
Mailing address
621 CALLE JUAREZ, SAN CLEMENTE, CA 92673-3021
(949) 413-4460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010405
CA
363LA2100X
Acute Care Nurse Practitioner
NP95010405
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95010405
CA
Other
Enumeration date
01/08/2019
Last updated
01/24/2024
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