LONG KHAC TRAN

LOS ANGELES, CA
NPI1962058628
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA  95012485)
Enumeration Date2019-08-17
Last Update Date2021-05-11
Business Address
LONG KHAC TRAN NP
8731 W PICO BLVD
LOS ANGELES, CA 90035-2205
Phone number: 310-213-5437
Mailing Address
LONG KHAC TRAN NP
25145 SOUTHPORT ST
LAGUNA HILLS, CA 92653-4922
Phone number: 949-295-3112
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