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NPI Code Detail

MEDICARE: TRANG DAM PPS-SP

MEDICARE: TRANG DAM PPS-SP
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
1103TS0200XSchool Psychologist

General Provider Information

NPI Number : 1538020987
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRANG DAM PPS-SP
Provider Business Mailing Address
First Line : 5832 BOLSA AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92649-1181
Country : US
Telephone Number : 714-893-1381
Fax Number :
Provider Business Practice Location Address
First Line : 5832 BOLSA AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92649-1181
Country : US
Telephone Number : 714-893-1381
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2025
Last Update Date : 11/24/2025

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Directions to “ TRANG DAM PPS-SP” Practice Location

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