Organization
ALAN T. TRAN M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PAUL QUINTANA CPC (ACCOUNT MANAGER)
(562) 256-9923
Entity
Organization
Contact information
Practice address
11160 WARNER AVE, SUITE 223, FOUNTAIN VALLEY, CA 92708-4008
(714) 966-2888
(714) 996-2999
Mailing address
11160 WARNER AVE, SUITE 223, FOUNTAIN VALLEY, CA 92708-4008
(714) 966-2888
(714) 996-2999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A71031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A71031
MEDICARE PTAN
CA
Enumeration date
11/15/2012
Last updated
11/20/2012
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