MEDICARE: DR. THUYHAN THI TRAN M.D., M.P.H.

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	207R00000X	Internal Medicine Physician	A90056	CA

General Provider Information

NPI Number	:	1467476614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THUYHAN THI TRAN M.D., M.P.H.

Provider Business Mailing Address
First Line	:	18081 BEACH BLVD
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1304
Country	:	US
Telephone Number	:	714-841-7293
Fax Number	:	714-841-7357

Provider Business Practice Location Address
First Line	:	18081 BEACH BLVD
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1304
Country	:	US
Telephone Number	:	714-841-7293
Fax Number	:	714-841-7357

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	12/14/2021

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