MEDICARE: JANA H TRAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	44107	CA

General Provider Information

NPI Number	:	1184650418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANA H TRAN DDS

Provider Business Mailing Address
First Line	:	361 RAILROAD CANYON RD STE A
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92532-4455
Country	:	US
Telephone Number	:	714-553-1543
Fax Number	:

Provider Business Practice Location Address
First Line	:	361 RAILROAD CANYON RD STE A
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92532-4455
Country	:	US
Telephone Number	:	714-553-1543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	11/02/2014

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