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General NPI Number Information
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NPI Number | 1659468445
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Entity Type | Organization
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Legal Business Name | LOAN TRAN MD CORPORATION
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11832 E ROSECRANS AVE #206
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City | NORWALK
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State | CA
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Zip | 90650
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Country | US
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Telephone | 562-863-1100
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Fax | 562-868-8060
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Provider Business Mailing Address
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Address Line | 5192 ROBINWOOD DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-1422
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Country | US
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Telephone | 562-863-1100
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Fax | 562-929-7423
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Authorized Official
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Title or Position | PRESIDENT
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Name | LOAN TRAN
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Credential | MD
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Telephone | 562-863-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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