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NPI Code Detail

MEDICARE: DUNG TRAN

MEDICARE:   DUNG  TRAN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1447677091
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUNG TRAN
Provider Business Mailing Address
First Line : 8745 AERO DR STE 330
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1763
Country : US
Telephone Number : 858-268-4933
Fax Number : 858-268-0244
Provider Business Practice Location Address
First Line : 8745 AERO DR STE 330
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1763
Country : US
Telephone Number : 858-268-4933
Fax Number : 858-268-0244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2014
Last Update Date : 03/20/2014

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Directions to “ DUNG TRAN ” Practice Location

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