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DAN B TRAN MEDICAL CORPORATION NPI 1124131065


NPI Information

NPI: 1124131065
Provider Name: DAN B TRAN MEDICAL CORPORATION

Other Name: COASTAL VISION MEDICAL GROUP

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2070593

Address:
4300 LONG BEACH BLVD STE 400
LONG BEACH, CA
ZIP 90807
Phone: (562) 591-7700
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DAN B TRAN MEDICAL CORPORATION is a specialist in Long Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DAN B TRAN MEDICAL CORPORATION NPI is 1124131065. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Coastal Vision Medical Group.

The provider's business location address is:

4300 LONG BEACH BLVD STE 400
LONG BEACH, CA
ZIP 90807-008
Phone: (562) 591-7700
Fax: (562) 591-1311

The provider's authorized official is Michele M Stepp .
The authorized official title is Credentialing and has the following contact phone number (714) 771-1213.

The CLIA number assigned to this NPI record is 05D2070593 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 2/22/2022.


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
1152W00000XOptometristOP12694CALIFORNIANo
2152W00000XOptometrist13026TPACALIFORNIANo
3174400000XSpecialistG83738CALIFORNIAYes

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: 11/14/2023

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