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NPI Code Detail

MEDICARE: NINA TRAN PA

MEDICARE:   NINA  TRAN  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA63977CA

General Provider Information

NPI Number : 1104559517
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA TRAN PA
Provider Business Mailing Address
First Line : 1000 S FREMONT AVE
Second Line :
City : ALHAMBRA
State : CA
Zip : 91803-8800
Country : US
Telephone Number : 626-457-4240
Fax Number :
Provider Business Practice Location Address
First Line : 101 THE CITY DR S
Second Line :
City : ORANGE
State : CA
Zip : 92868-3201
Country : US
Telephone Number : 714-456-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2022
Last Update Date : 01/26/2026

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Directions to “ NINA TRAN PA” Practice Location

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