Physician Compare National (NPI:1063515963)

HEALTHCARE PROVIDER: THU TRANG DO D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1063515963
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567479561
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060316000210
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DO
	Individual professional last name
Provider First Name	THUTRANG
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	15735 HAWTHORNE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 111
	Group Practice or individual's line 2 address
City	LAWNDALE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902602664
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050353
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M