Organization
NORTH COAST MEDICAL CENTER INC
Active
Other names
Dr Michael Tran MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L TRAN MD (OWNER DOCTOR)
(707) 546-7979
Entity
Organization
Contact information
Practice address
2465 SUMMERFIELD RD, SANTA ROSA, CA 95405-7815
(707) 546-7979
(707) 546-7667
Mailing address
4704 HOEN AVENUE, SANTA ROSA, CA 95405
(707) 546-7979
(707) 546-7667
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G085353
CA
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159045000
US DEPT OF LABOR
CA
Enumeration date
06/26/2007
Last updated
06/08/2015
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