Provider Demographics
NPI:1861433526
Name:BRYAN H TRAN MD INC
Entity type:Organization
Organization Name:BRYAN H TRAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-347-6777
Mailing Address - Street 1:27800 MEDICAL CENTER ROAD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6447
Mailing Address - Country:US
Mailing Address - Phone:949-347-6777
Mailing Address - Fax:949-347-6782
Practice Address - Street 1:27800 MEDICAL CENTER ROAD
Practice Address - Street 2:SUITE 230
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6447
Practice Address - Country:US
Practice Address - Phone:949-347-6777
Practice Address - Fax:949-347-6782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54928207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A549280Medicaid
G66092Medicare UPIN
CAWA54928DMedicare ID - Type Unspecified