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NPI Code Detail

MEDICARE: TRAN THAI

MEDICARE: TRAN THAI
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
1225100000XPhysical Therapist41168CA

General Provider Information

NPI Number : 1861819609
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAN THAI
Provider Business Mailing Address
First Line : 4029 MORNINGSIDE AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92703-1352
Country : US
Telephone Number : 714-657-2875
Fax Number :
Provider Business Practice Location Address
First Line : 201 SANDPOINTE AVE
Second Line : SUITE 130
City : SANTA ANA
State : CA
Zip : 92707-5778
Country : US
Telephone Number : 714-557-9292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2014
Last Update Date : 03/18/2014

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Directions to “ TRAN THAI ” Practice Location

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