Basic Information
Provider Information
NPI: 1487606711
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRAN
FirstName: HOANG
MiddleName: NHU
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 632 W GIBSON RD
Address2: WOODLAND MEMORIAL HOSPITAL, DEPT ORTH
City: WOODLAND
State: CA
PostalCode: 956955169
CountryCode: US
TelephoneNumber: 5306623961
FaxNumber: 2142929485
Practice Location
Address1: 632 W GIBSON RD
Address2: WOODLAND MEMORIAL HOSPITAL, DEPT ORTH
City: WOODLAND
State: CA
PostalCode: 956955169
CountryCode: US
TelephoneNumber: 5306623961
FaxNumber: 2142929485
Other Information
ProviderEnumerationDate: 05/16/2006
LastUpdateDate: 10/30/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XG080012CAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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