Provider Demographics
NPI:1548269087
Name:TRAN, JEAN G (MD)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:G
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:13031 KERRY ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-1638
Mailing Address - Country:US
Mailing Address - Phone:657-233-0344
Mailing Address - Fax:872-241-0464
Practice Address - Street 1:10402 WESTMINSTER AVE
Practice Address - Street 2:SUITE 100C
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843
Practice Address - Country:US
Practice Address - Phone:714-638-1358
Practice Address - Fax:714-741-0693
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2024-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA022786208000000X
CAC175369208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1482218Medicaid