Tran, Ngac Tien

Tran, Ngac Tien is an sole proprietor health care provider with primary practice located at 1545 Saint Marks Plz Suite 1C, Stockton CA 95207-6411. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Tran, Ngac Tien can be contacted via phone (209) 473-2833.

Contact Information

Primary practice address
1545 Saint Marks Plz Suite 1C Stockton CA 95207-6411
Fax: (209) 473-0435
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A41161 California

Profile Details

NPI number 1912001363
LBN Legal business name Tran, Ngac Tien
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912001363 NPPES
California MEDICAID 00A411610

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