Provider Demographics
NPI:1912796707
Name:LE TRAN, ANH QUOC (PA-C)
Entity type:Individual
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First Name:ANH QUOC
Middle Name:
Last Name:LE TRAN
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Gender:
Credentials:PA-C
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Mailing Address - Street 1:12979 COMMUNITY RD APT 126
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-5789
Mailing Address - Country:US
Mailing Address - Phone:858-231-6614
Mailing Address - Fax:
Practice Address - Street 1:2725 CAPITOL AVE DEPT 402
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6032
Practice Address - Country:US
Practice Address - Phone:916-262-9454
Practice Address - Fax:916-262-9410
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA66419363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant