Individual
MICHAEL TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
2955 CHAMPION WAY, 291, TUSTIN, CA 92782-1243
(864) 451-9137
Mailing address
2955 CHAMPION WAY, 291, TUSTIN, CA 92782-1243
(864) 451-9137
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
159142
SC
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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