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PHONG T. TRAN DDS INC NPI 1417171646


NPI Information

NPI: 1417171646
Provider Name: PHONG T. TRAN DDS, INC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4500 ROSEMEAD BLVD STE A
PICO RIVERA, CA
ZIP 90660
Phone: (562) 692-9196
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PHONG T. TRAN DDS, INC is a general practice dentist in Pico Rivera, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PHONG T. TRAN DDS, INC NPI is 1417171646. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4500 ROSEMEAD BLVD STE A
PICO RIVERA, CA
ZIP 90660-081
Phone: (562) 692-9196

The provider's authorized official is Phong Thai Tran .
The authorized official title is Ceo and has the following contact phone number (562) 692-9196.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 1/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice45624CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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