| Andy Ngan Tran Dmd Inc. | |
|
2739 W Edinger Ave Santa Ana CA 92704-3523 | |
| (714) 957-0308 | |
| (714) 957-5845 |
| Full Name | Andy Ngan Tran Dmd Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2739 W Edinger Ave, Santa Ana, California |
| Authorized Official Name and Position | Andy Ngan Tran (OWNER/CEO) |
| Authorized Official Contact | 7143079217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andy Ngan Tran Dmd Inc. 10106 Stilbite Ave Fountain Valley CA 92708-1012 Ph: (714) 307-9217 | Andy Ngan Tran Dmd Inc. 2739 W Edinger Ave Santa Ana CA 92704-3523 Ph: (714) 957-0308 |
| NPI Number | 1013410927 |
|---|---|
| Provider Enumeration Date | 03/16/2018 |
| Last Update Date | 03/16/2018 |
| Medicare PECOS PAC ID | 7214277284 |
|---|---|
| Medicare Enrollment ID | O20190329000833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013410927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 64176 (California) | Primary |
| Provider Name | Andy Ngan Tran |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306241369 PECOS PAC ID: 9032459003 Enrollment ID: I20190329000894 |
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