Individual
JIMMY VAN TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
24452 HEALTH CENTER DR, LAGUNA HILLS, CA 92653-3604
(949) 837-8000
Mailing address
8719 MARINA WAY, GARDEN GROVE, CA 92844-4201
(657) 246-7685
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49244
CA
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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