Provider Demographics
NPI:1699749747
Name:TRAN MEDICAL CLINIC INC
Entity type:Organization
Organization Name:TRAN MEDICAL CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KHANH
Authorized Official - Middle Name:CONG
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-281-3998
Mailing Address - Street 1:2899 SENTER ROAD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95111-4601
Mailing Address - Country:US
Mailing Address - Phone:408-281-3889
Mailing Address - Fax:408-281-3892
Practice Address - Street 1:2899 SENTER ROAD
Practice Address - Street 2:SUITE 140
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95111-4601
Practice Address - Country:US
Practice Address - Phone:408-281-3889
Practice Address - Fax:408-281-3892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8238207Q00000X
CAA68365207R00000X
CAA52085208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty