Healthcare Provider Details

I. General information

NPI: 1508963398
Provider Name (Legal Business Name): LOANNE B. TRAN, MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 03/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 W DUARTE RD STE 205
ARCADIA CA
91007-9260
US

IV. Provider business mailing address

624 W DUARTE RD STE 205
ARCADIA CA
91007-9260
US

V. Phone/Fax

Practice location:
  • Phone: 626-446-0810
  • Fax: 626-254-9879
Mailing address:
  • Phone: 626-446-0810
  • Fax: 626-254-9879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA63084
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA63084
License Number StateCA

VIII. Authorized Official

Name: DR. LOANNE BICH TRAN
Title or Position: PRESIDENT
Credential: M.D., M.P.H. & T.M.
Phone: 626-446-0810