Organization
TOANHUNGTRAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOAN HUNG TRAN M.D. (PRESIDENT)
(209) 957-0641
Entity
Organization
Contact information
Practice address
4545 GEORGETOWN PL, C 16, STOCKTON, CA 95207-6215
(209) 957-0641
(209) 957-0550
Mailing address
4545 GEORGETOWN PL, C 16, STOCKTON, CA 95207-6215
(209) 957-0641
(209) 957-0550
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A37620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A376200
—
CA
Enumeration date
12/26/2007
Last updated
12/26/2007
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