Individual
DR. NGAC TIEN TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1545 SAINT MARKS PLZ, SUITE 1C, STOCKTON, CA 95207-6411
(209) 473-2833
(209) 473-0435
Mailing address
1545 SAINT MARKS PLZ, SUITE 1C, STOCKTON, CA 95207-6411
(209) 473-2833
(209) 473-0435
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A41161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A411610
—
CA
Enumeration date
09/07/2006
Last updated
07/08/2007
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