Provider Demographics
NPI:1588767412
Name:TRAN, JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6175 STONEBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-2952
Mailing Address - Country:US
Mailing Address - Phone:714-898-7811
Mailing Address - Fax:714-828-9592
Practice Address - Street 1:8220 KATELLA AVE
Practice Address - Street 2:STE D
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-4602
Practice Address - Country:US
Practice Address - Phone:714-828-9235
Practice Address - Fax:714-828-9592
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28186111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor