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Individual

KATIE DUNG TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
127 S SAN VICENTE BLVD, A3100, LOS ANGELES, CA 90048
(310) 423-3522
Mailing address
3661 JULIAN AVE, LONG BEACH, CA 90808-3113
(714) 655-7878
(310) 423-0319

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004717
CA
363LF0000X
Family Nurse Practitioner
95004717
CA

Other

Enumeration date
08/28/2016
Last updated
08/28/2016
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