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NPI Code Detail

MEDICARE: DAN B TRAN MEDICAL CORPORATION

MEDICARE: DAN B TRAN MEDICAL CORPORATION
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
1152W00000XOptometristOP12694CA
2152W00000XOptometrist13026TPACA
3174400000XSpecialistG83738CA

General Provider Information

NPI Number : 1124131065
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAN B TRAN MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 4300 LONG BEACH BLVD STE 400
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2008
Country : US
Telephone Number : 562-591-7700
Fax Number : 562-591-1311
Provider Business Practice Location Address
First Line : 4300 LONG BEACH BLVD STE 400
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2008
Country : US
Telephone Number : 562-591-7700
Fax Number : 562-591-1311
Authorized Official
Title or Position : CREDENTIALING
Name : MICHELE M STEPP
Credential :
Telephone Number : 714-771-1213
Provider Enumeration Date : 08/16/2006
Last Update Date : 05/03/2023

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Directions to “DAN B TRAN MEDICAL CORPORATION ” Practice Location

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