Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | A75459 | CA |
NPI | 1215004361 |
---|---|
Provider Name | Tan Duc Tran |
First Address | Bakersfield, CA 93301-1407 |
Second Address | Bakersfield, CA 93301-1407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 01/12/2021 |