MEDICARE: DR. MYLINH TRAN DUNCAN D.O.

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	152W00000X	Optometrist	12027T	CA

General Provider Information

NPI Number	:	1598755498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MYLINH TRAN DUNCAN D.O.

Provider Business Mailing Address
First Line	:	18 PINEBROOK
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-4036
Country	:	US
Telephone Number	:	949-552-1297
Fax Number	:

Provider Business Practice Location Address
First Line	:	3620 SOUTH BRISTOL ST
Second Line	:	SUITE 101
City	:	SANTA ANA
State	:	CA
Zip	:	92704-7451
Country	:	US
Telephone Number	:	714-557-7373
Fax Number	:	714-557-2390

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

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	09/03/2013

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