Individual
NGOC-MAI THI TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15057 GOLDENWEST ST, HUNTINGTON BEACH, CA 92647-2710
(562) 774-1901
Mailing address
15057 GOLDENWEST ST, HUNTINGTON BEACH, CA 92647-2710
(323) 415-6100
(323) 415-6400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A870565
CA
208D00000X
General Practice Physician
Primary
A870565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A870650
—
CA
01
—
20-2930332
TAX ID ISSUED BY IRS
—
Enumeration date
07/17/2006
Last updated
06/23/2026
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