Provider Demographics
NPI:1124131065
Name:DAN B TRAN MEDICAL CORPORATION
Entity type:Organization
Organization Name:DAN B TRAN MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:M
Authorized Official - Last Name:STEPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-771-1213
Mailing Address - Street 1:4300 LONG BEACH BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2008
Mailing Address - Country:US
Mailing Address - Phone:562-591-7700
Mailing Address - Fax:562-591-1311
Practice Address - Street 1:4300 LONG BEACH BLVD STE 400
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2008
Practice Address - Country:US
Practice Address - Phone:562-591-7700
Practice Address - Fax:562-591-1311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOP12694152W00000X
CA13026TPA152W00000X
CAG83738174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG83738EMedicare ID - Type UnspecifiedPPIN: DAN B TRAN MD(LB)
CAWG83738FMedicare ID - Type UnspecifiedPPIN: DAN B TRAN MD
CAWOP13026AMedicare PIN
CAV007750Medicare UPIN
CAWOP12694AMedicare ID - Type UnspecifiedPPIN: POLEN LIM OD
CAG64934Medicare UPIN
CAW19256AMedicare ID - Type UnspecifiedGROUP ID: LONG BEACH OFFI
CA5563790001Medicare NSC
CAW19256Medicare ID - Type UnspecifiedGROUP ID: ORANGE OFFICE