Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | A52468 | CA |
N | 207R00000X | Internist | A52468 | CA |
N | 111NI0900X | Internist | A52468 | CA |
N | 2084N0400X | Neurologist | A52468 | CA |
NPI | 1134264831 |
---|---|
Provider Name | Dr. Thanh Quoc Tran |
First Address | San Francisco, CA 94102-2009 |
Second Address | San Francisco, CA 94102-2009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 25/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A524680 | (05) | CA |
G16958 | (02) | CA |