Healthcare Provider Details

I. General information

NPI: 1306364559
Provider Name (Legal Business Name): TRAM NGOC CHAU MHA, RDHAP, RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 TRUXTUN AVE STE 400
BAKERSFIELD CA
93301-5220
US

IV. Provider business mailing address

1430 TRUXTUN AVE STE 400
BAKERSFIELD CA
93301-5220
US

V. Phone/Fax

Practice location:
  • Phone: 661-635-3050
  • Fax: 661-324-4153
Mailing address:
  • Phone: 661-635-3050
  • Fax: 661-324-4153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number30407
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: