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General NPI Number Information
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NPI Number | 1548324429
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Entity Type | Organization
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Legal Business Name | FIRST SANTA ANA MEDICAL GROUP INC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2337 W 1ST ST
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City | SANTA ANA
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State | CA
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Zip | 92703-3503
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Country | US
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Telephone | 714-547-2915
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Fax | 714-547-4968
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Provider Business Mailing Address
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Address Line | 2337 W 1ST ST
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City | SANTA ANA
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State | CA
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Zip | 92703-3503
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Country | US
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Telephone | 714-547-2915
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Fax | 714-547-4968
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Authorized Official
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Title or Position | OWNER
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Name | DR. NGO M TRAN
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Credential | MD
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Telephone | 714-547-3915
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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 | A30475
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License Number State | CA
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