| Kelly Tram Tran, PA-C | |
|
520 N Prospect Ave Ste 302, Redondo Beach, CA 90277-3043 | |
| (310) 798-1515 | |
| (310) 798-3131 |
| Full Name | Kelly Tram Tran |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 520 N Prospect Ave Ste 302, Redondo Beach, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487295549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA57368 (California) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| William J Wickwire M D Inc A Professional Corporation | 7315974375 | 10 |
| Entity Name | William J Wickwire M D Inc a Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326119165 PECOS PAC ID: 7315974375 Enrollment ID: O20050720001209 |
| Entity Name | Island Dermatology, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508815556 PECOS PAC ID: 1850395070 Enrollment ID: O20060830000569 |
| Entity Name | Hoag Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936 |
| Entity Name | Sun Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114588704 PECOS PAC ID: 8426388810 Enrollment ID: O20190927001371 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Tram Tran, PA-C 9392 Downing Cir, Westminster, CA 92683-6520 Ph: (714) 654-3750 | Kelly Tram Tran, PA-C 520 N Prospect Ave Ste 302, Redondo Beach, CA 90277-3043 Ph: (310) 798-1515 |
Mrs. Kelly Ann Josephsen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 816 Camino Real Unit 201, Redondo Beach, CA 90277 Phone: 310-740-0589 |
Erica Deangelo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2409 Artesia Blvd, Redondo Beach, CA 90278 Phone: 424-400-7722 Fax: 424-400-7721 |
Ms. Kanti Charugundla, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 502 Torrance Blvd, Redondo Beach, CA 90277 Phone: 310-316-0811 |
Sophia Rose Spengler, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 N Pacific Coast Hwy Ste 101, Redondo Beach, CA 90277 Phone: 310-905-6819 Fax: 888-972-1912 |
Mrs. Jessica Lauren Carney, Physician Assistant Medicare: Medicare Enrolled Practice Location: 325 S Francisca Ave, Redondo Beach, CA 90277 Phone: 847-363-7557 |
Sofia Aprile, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 318 Avenue I # 118, Redondo Beach, CA 90277 Phone: 310-701-5122 |
Samuel Richard Cox, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 725 S Pacific Coast Hwy, Redondo Beach, CA 90277 Phone: 424-296-3100 |