Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | A35253 | CA |
NPI | 1356477459 |
---|---|
Provider Name | Ninh Ngoc Tran |
First Address | Huntington Beach, CA 92646-3643 |
Second Address | Fountain Valley, CA 92708-3847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A27724 | (02) | CA |
A352530 | (05) | CA |