LONG KHAC TRAN


Address: 25145 Southport St, Laguna Hills, CA 92653-4922
Phone: 9492953112

LONG KHAC TRAN (NPI# 1962058628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962058628
Entity Type Individual
Full Name LONG KHAC TRAN
Credential NP
Practice Address 25145 Southport St
Laguna Hills
CA 92653-4922
Practice Telephone 9492953112
Mailing Telephone 9492953112
Enumeration Date 2019-08-17
Last Update Date 2019-08-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
95012485 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers LONG TRAN

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Office Location

Street Address 25145 SOUTHPORT ST
City LAGUNA HILLS
State CA
Zip Code 92653-4922

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932708476 Nikkie Veyseh Behavior Technician 26921 Falling Leaf Dr., Laguna Hills, CA 92653 2020-10-24
1609480425 Steve Ceja Behavior Technician 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 2020-08-31
1467006882 Kristina Alexa Puno Morales Dietitian, Registered 24552 Health Center Drive, Laguna Hills, CA 92653 2019-07-25
1164929626 Shoreline Consulting Services, Inc. Clinic/Center 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 2018-04-11
1023511045 Performance Health Medical Group Non-Pharmacy Dispensing Site 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 2018-03-15
1831613850 Stephani A Berg Physical Medicine & Rehabilitation 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 2017-08-01
1497299945 Stephanie Lyle Nurse Practitioner 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 2016-12-16
1053776278 Meillanny Gladness Counselor 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 2015-12-16
1912383183 Pmdca, LLC Clinical Medical Laboratory 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 2015-08-10
1821486630 4mpw, Inc. Home Health 23232 Peralta Drive 216, Laguan Hills, CA 92653 2014-12-31
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558797837 Kimberly Sue Rice Nurse Practitioner 24953 Paseo De Valencia, Suite 5a, Laguna Hills, CA 92653-4342 2013-09-18
1902179138 Janis Davidson Nurse Practitioner 23961 Calle De La Magdalena, #334, Laguna Hills, CA 92653-3616 2012-02-19
1669665576 Wallis Halperin Wallis Nurse Practitioner 23961 Calle De La Magdalena, Suite 334, Laguna Hills, CA 92653-3616 2007-08-23
1649496811 Lydia Irene Moore Nurse Practitioner 23961 Calle De La Magdalena Ste 334, Laguna Hills, CA 92653-3665 2007-04-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528668167 Amber Briana Curry Nurse Practitioner 1336 6th Ave, San Francisco, CA 94122-2504 2020-10-30
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1851990832 Casey Domine Nurse Practitioner 1750 10th St., Apt. A, Oakland, CA 94607 2020-10-21
1184221798 Larae Jean Hansen Nurse Practitioner 7805 Redondo St, Ventura, CA 93004-3814 2020-10-06
1497361612 Brandon Philip Obero Vinzon Nurse Practitioner 155 E 4th St Apt 206, Long Beach, CA 90802-2498 2020-09-22
1538774070 Emily Ruth Schoen Nurse Practitioner 110 Calle Balboa, San Clemente, CA 92672-3132 2020-09-11
1831715770 Veronica Munoz-rivera I Nurse Practitioner 1327 Leopard Ct, Palmdale, CA 93551-4360 2020-06-16
1770102295 Roxanna Arely Caballero Nurse Practitioner 185 N Douglas Ave, Fresno, CA 93727-3637 2020-04-14
1053949214 Gina Louise James Nurse Practitioner 124 Stoney Hill Dr, Folsom, CA 95630-4614 2020-03-31
1831723519 Patrinella Gonzales Nurse Practitioner 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201-5590 2020-03-03
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Competitor

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City LAGUNA HILLS
Zip Code 92653

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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