MEDICARE: CAT TRAN DANG 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	2084P0800X	Psychiatry Physician	20A9377	CA
2	2084P0804X	Child & Adolescent Psychiatry Physician	20A9377	CA

General Provider Information

NPI Number	:	1992863955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAT TRAN DANG D.O.

Provider Business Mailing Address
First Line	:	1451 QUAIL ST STE 101
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2747
Country	:	US
Telephone Number	:	949-270-2902
Fax Number	:

Provider Business Practice Location Address
First Line	:	1451 QUAIL ST STE 101
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2747
Country	:	US
Telephone Number	:	949-270-2902
Fax Number	:

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	10/18/2024

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