MEDICARE: DR. TRANG TA DC

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	111N00000X	Chiropractor	DC37112	CA

General Provider Information

NPI Number	:	1962228312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRANG TA DC

Provider Business Mailing Address
First Line	:	5335 COLLEGE AVE STE 25
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94618-2804
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5335 COLLEGE AVE STE 25
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94618-2804
Country	:	US
Telephone Number	:	510-761-1870
Fax Number	:

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

Provider Enumeration Date	:	12/02/2024
Last Update Date	:	12/02/2024

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Directions to “ DR. TRANG TA DC” Practice Location

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