Individual
DOMINICKPHI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865
(949) 201-5289
Mailing address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865
(949) 201-5289
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
06/30/2023
Last updated
07/06/2023
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