Healthcare Provider Details

I. General information

NPI: 1992994248
Provider Name (Legal Business Name): TRAN-GO MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2007
Last Update Date: 04/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1053 R ST
FRESNO CA
93721-1312
US

IV. Provider business mailing address

1053 R ST
FRESNO CA
93721-1312
US

V. Phone/Fax

Practice location:
  • Phone: 559-233-3131
  • Fax: 559-233-3133
Mailing address:
  • Phone: 559-233-3131
  • Fax: 559-233-3133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberA39065
License Number StateCA

VIII. Authorized Official

Name: DR. PATRICK HOWARD TRAN
Title or Position: DIRECTOR
Credential: MD
Phone: 559-233-3131