KELLY THAO TRAN


Address: 12032 Fairchild St, Garden Grove, CA 92845-1529
Phone: 7142495050

KELLY THAO TRAN (NPI# 1255799276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255799276
Entity Type Individual
Full Name KELLY THAO TRAN
Credential NP
Practice Address 12032 Fairchild St
Garden Grove
CA 92845-1529
Practice Telephone 7142495050
Mailing Telephone 7142495050
Enumeration Date 2016-02-04
Last Update Date 2016-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 770299 CA Nursing Service Providers
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
NP95003689 CA Physician Assistants & Advanced Practice Nursing Providers

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1558970756 Kelly Tran Physical Medicine & Rehabilitation 1111 Summit Ave, Fort Worth, TX 76102-3425 2020-07-24
1851913107 Kelly Lee Tran Pharmacist 7095 Market Place Dr, Goleta, CA 93117-5905 2020-05-09
1487295549 Kelly Tram Tran Physician Assistant 12488 Central Ave, Chino, CA 91710-2625 2019-09-30
1679133243 Kelly Quan Tran Counselor 1635 W Main St # 100, Alhambra, CA 91801-1951 2019-06-17
1508429150 Kelly Tran Pharmacist 3575 Atlantic Ave, Long Beach, CA 90807-4515 2019-04-18

Office Location

Street Address 12032 FAIRCHILD ST
City GARDEN GROVE
State CA
Zip Code 92845-1529

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962059352 Maria Sanchez Selvas Technician 5922 Belgrave Ave, Garden Grove, CA 92845 2019-08-21
1205342524 Ahcs Specialty Care LLC Pharmacy 12832 Valley View St Ste A&b, Garden Grove, CA 92845 2017-12-22
1154745594 Amanda Siu Dentist 12062 Valley View St #250, Garden Grove, CA 92845 2014-02-05
1295085660 Harrell M Reznick Psychologist 12792 Longden St, Garden Grove, CA 92845 2012-09-13
1093065328 Jessica Eldridge Psychologist 12777 Valley View, Suite 212, Garden Grove, CA 92845 2012-09-13
1205114501 Hideki Ikeda D.d.s., M.s., Dental Corporation Dentist 12777 Valley View St.., Suite 222, Garden Grove, CA 92845 2011-08-03
1669652533 David D. Brown Psychiatry & Neurology 12062 Valley View St Ste 107, Garden Grove, CA 92845 2007-11-08
1427267608 Stacy Derenard Speech-Language Pathologist 12060 Valley View St, Suite 137, Garden Grove, CA 92845 2007-05-22
1992914170 Erin Dawn Densmore Speech-Language Pathologist 12060 Valley View St., Suite 137, Garden Grove, CA 92845 2007-05-22
1902944929 Regency Hospice Inc Hospice Care, Community Based 12062 Valley View Street #125, Garden Grove, CA 92845 2007-02-02
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

Search similar providers

City GARDEN GROVE
Zip Code 92845

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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