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General NPI Number Information
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NPI Number | 1528101847
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Entity Type | Organization
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Legal Business Name | THANH N TRAN A PROF CORP
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8426 CALIFORNIA AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280
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Country | US
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Telephone | 323-564-5805
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Fax | 323-564-1670
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Provider Business Mailing Address
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Address Line | 8426 CALIFORNIA AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280
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Country | US
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Telephone | 323-564-5805
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Fax | 323-564-1670
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Authorized Official
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Title or Position | PRESIDENT DIRECTOR
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Name | MR. THANH N TRAN
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Credential | MD
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Telephone | 323-564-5805
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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 | 20A7502
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A40326
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A75777
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License Number State | CA
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