| Bao Cong Tran Md Inc | |
|
175 W La Verne Ave #d Pomona CA 91676-2332 | |
| (909) 593-3388 | |
| (909) 596-0518 |
| Full Name | Bao Cong Tran Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 175 W La Verne Ave, Pomona, California |
| Authorized Official Name and Position | Bao Cong Tran (PRESIDENT OF THE CORPORATION) |
| Authorized Official Contact | 9095933388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bao Cong Tran Md Inc 175 W La Verne Ave #d Pomona CA 91676-2332 Ph: (909) 593-3388 | Bao Cong Tran Md Inc 175 W La Verne Ave #d Pomona CA 91676-2332 Ph: (909) 593-3388 |
| NPI Number | 1184809329 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184809329 | NPI | - | NPPES |
| GR0087500 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A41661 (California) | Primary |
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