Individual
DR. THAI LAN NGUYEN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1441 CONSTITUTION BLVD, SALINAS, CA 93906-3100
(626) 768-4415
(626) 403-0321
Mailing address
35 E GLENARM ST, PASADENA, CA 91105-3418
(626) 768-4415
(626) 403-0321
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A111671
CA
2086S0102X
Surgical Critical Care Physician
A111671
CA
2086S0127X
Trauma Surgery Physician
Primary
A111671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578023792
—
CA
Enumeration date
08/26/2008
Last updated
04/15/2020
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