MEDICARE: JUSTIN R TRAN PT, DPT

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	2251X0800X	Orthopedic Physical Therapist	305401	CA

General Provider Information

NPI Number	:	1356112742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN R TRAN PT, DPT

Provider Business Mailing Address
First Line	:	1818 OAKWOOD AVE
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-1723
Country	:	US
Telephone Number	:	626-241-4980
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 N LAKE AVE # 3201
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-4107
Country	:	US
Telephone Number	:	626-568-9115
Fax Number	:

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

Provider Enumeration Date	:	01/15/2024
Last Update Date	:	05/05/2025

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