Individual
MS. EVANS PHUNG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3801 KATELLA AVE, SUITE 110, LOS ALAMITOS, CA 90720-3338
(562) 594-0860
(562) 594-9010
Mailing address
3801 KATELLA AVE, SUITE 110, LOS ALAMITOS, CA 90720-3338
(562) 594-0860
(562) 594-9010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1106874
CA
Other
Enumeration date
09/24/2012
Last updated
03/13/2013
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