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General NPI Number Information
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NPI Number | 1750971446
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Entity Type | Organization
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Legal Business Name | DR DIANA TRAN-KIM CORP.
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 11160 WARNER AVE STE 301
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4055
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Country | US
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Telephone | 714-210-5665
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Fax |
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Provider Business Mailing Address
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Address Line | 11160 WARNER AVE STE 301
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4055
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Country | US
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Telephone | 714-210-5665
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Fax |
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Authorized Official
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Title or Position | DO
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Name | DIANA M TRAN-KIM
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Credential | DO
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Telephone | 714-210-5665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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