Individual
MICHAEL KHANH TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17010 MAGNOLIA ST STE A, FOUNTAIN VALLEY, CA 92708-3215
(714) 839-2077
(714) 839-9692
Mailing address
17010 MAGNOLIA ST STE A, FOUNTAIN VALLEY, CA 92708-3215
(714) 839-2077
(714) 839-9692
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A78193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A781930
—
CA
Enumeration date
08/22/2005
Last updated
04/08/2024
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