1003900366 NPI number — DR. HIEU N TRAM MD

Table of content: DR. HIEU N TRAM MD (NPI 1003900366)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003900366 NPI number — DR. HIEU N TRAM MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRAM
Provider First Name:
HIEU N
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003900366
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 60426
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IRVINE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92602
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-775-3060
Provider Business Mailing Address Fax Number:
714-531-0959

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15355 BROOKHURST STREET
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92683-7077
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-775-3060
Provider Business Practice Location Address Fax Number:
714-531-0959
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  000000G80793 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: G 80793 . This is a "MEDICAL LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 00G807930702 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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