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NPI Code Detail

MEDICARE: NGOC KIM TRAN

MEDICARE: NGOC KIM TRAN
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
11223G0001XGeneral Practice Dentistry46534CA

General Provider Information

NPI Number : 1619035920
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGOC KIM TRAN
Provider Business Mailing Address
First Line : PO BOX 3430
Second Line :
City : FULLERTON
State : CA
Zip : 92834-3430
Country : US
Telephone Number : 562-424-1600
Fax Number :
Provider Business Practice Location Address
First Line : 3383 LONG BEACH BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-4408
Country : US
Telephone Number : 562-424-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 07/08/2007

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Directions to “ NGOC KIM TRAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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