Individual
CAROL TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9105 VALLEY BLVD, SUITE 101, ROSEMEAD, CA 91770-1919
(626) 573-8826
(626) 573-8861
Mailing address
9105 VALLEY BLVD, SUITE 101, ROSEMEAD, CA 91770-1919
(626) 573-8826
(626) 573-8861
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
A051985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A51985
—
CA
01
—
A51985-P
PIPA
CA
01
—
CTRAN
APC
CA
01
—
JNGUYEN
PA
CA
01
—
P057
PHW
CA
Enumeration date
11/08/2006
Last updated
11/15/2011
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