Individual
BAO CONG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 W LAVERNE AVE, D, POMONA, CA 91767-2332
(909) 593-3388
(909) 596-0518
Mailing address
175 W LAVERNE AVE, D, POMONA, CA 91767-2332
(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
—
00A416610
—
CA
05
—
GF0087500
—
CA
Enumeration date
03/21/2006
Last updated
01/10/2008
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