NPI Code Detail JSON Logo

1134161078 NPI number — LOAN T. TRAN M.D.

NPI Number: 1134161078
Health Care Provider/Practitioner: LOAN T. TRAN M.D.

Information about “1134161078” NPI (LOAN T. TRAN M.D.) exists in 1134161078 in HTML format HTML  |  1134161078 in plain Text format TXT  |  1134161078 in PDF (Portable Document Format) PDF  |  1134161078 in an XML format XML  formats.

NPI Number : 1134161078 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134161078",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TRAN",
    "FirstName": "LOAN",
    "MiddleName": "T.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12100 IMPERIAL HWY",
    "SecondLineMailingAddress": "STE 102",
    "MailingAddressCityName": "NORWALK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90650-3082",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-863-1100",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12100 IMPERIAL HWY",
    "SecondLinePracticeLocationAddress": "102",
    "PracticeLocationAddressCityName": "NORWALK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90650-4107",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-863-1100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/12/2006",
    "LastUpdateDate": "05/08/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207W00000X",
        "TaxonomyName": "Ophthalmology Physician",
        "LicenseNumber": "A60907",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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