Provider Demographics
NPI:1316096688
Name:TRAN, NEIL QUANG (MD)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:QUANG
Last Name:TRAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:26522 LA ALAMEDA
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6330
Mailing Address - Country:US
Mailing Address - Phone:949-282-1671
Mailing Address - Fax:949-367-0518
Practice Address - Street 1:26800 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE 230
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6384
Practice Address - Country:US
Practice Address - Phone:949-542-8004
Practice Address - Fax:949-364-3682
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2021-11-11
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Provider Licenses
StateLicense IDTaxonomies
CAA84603207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A846030Medicaid
CAWA84603BMedicare PIN
CA00A846030Medicaid
I45475Medicare UPIN