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General NPI Number Information
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NPI Number | 1295895498
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Entity Type | Individual
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Provider Name | QUOC TIEN TRAN MD
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 23823 VALENCIA BLVD STE 220
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City | SANTA CLARITA
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State | CA
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Zip | 91355-9512
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Country | US
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Telephone | 661-253-2211
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Fax | 866-268-6601
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Provider Business Mailing Address
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Address Line | 1064 VILLAGE CT
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City | OCEANSIDE
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State | CA
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Zip | 92057-1927
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Country | US
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Telephone | 760-435-0611
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Fax | 866-268-6601
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A76581
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License Number State | CA
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