Organization
ROGER TRAN MD
Active
Other names
ADVANCED GERIATRIC CARE AND FAMILY PRACTICE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER TRAN MD (OWNER AND PHYSICIAN)
(949) 305-2660
Entity
Organization
Contact information
Practice address
23521 PASEO DE VALENCIA, SUITE 311, LAGUNA HILLS, CA 92653-3144
(949) 305-2660
(949) 305-2036
Mailing address
23521 PASEO DE VALENCIA, SUITE 311, LAGUNA HILLS, CA 92653-3144
(949) 305-2660
(949) 305-2036
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A85461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5616517
OTHER ID NUMBER
—
Enumeration date
12/11/2006
Last updated
04/12/2010
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