Provider Demographics
NPI:1144255019
Name:TRAN, MARY ANNE (DO)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:ANNE
Last Name:TRAN
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Gender:F
Credentials:DO
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Mailing Address - Street 1:10741 WESTMINSTER AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4919
Mailing Address - Country:US
Mailing Address - Phone:714-537-9181
Mailing Address - Fax:714-537-9597
Practice Address - Street 1:10741 WESTMINSTER AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4919
Practice Address - Country:US
Practice Address - Phone:714-537-9181
Practice Address - Fax:714-537-9597
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2015-06-08
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Provider Licenses
StateLicense IDTaxonomies
CA20A6925207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine