MEDICARE: ALLEN TRAN M.D.

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
1	207L00000X	Anesthesiology Physician	A106512	CA

General Provider Information

NPI Number	:	1710118013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN TRAN M.D.

Provider Business Mailing Address
First Line	:	536 MARKETVIEW
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92602-1695
Country	:	US
Telephone Number	:	408-624-7397
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 THE CITY DR S
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3204
Country	:	US
Telephone Number	:	714-456-5501
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2009
Last Update Date	:	02/11/2022

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