Provider Demographics
NPI:1548285653
Name:TRAN, NGAN NGOC (DC)
Entity type:Individual
Prefix:DR
First Name:NGAN
Middle Name:NGOC
Last Name:TRAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6540 LUSK BLVD STE C148
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2767
Mailing Address - Country:US
Mailing Address - Phone:858-658-0424
Mailing Address - Fax:888-826-6928
Practice Address - Street 1:6540 LUSK BLVD STE C148
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2767
Practice Address - Country:US
Practice Address - Phone:858-658-0424
Practice Address - Fax:888-826-6928
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CADC29720111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor