Individual provider · Type 1 NPI
Long Khac Tran, NP
Pediatric Nurse Practitioner · Los Angeles, CA
NPI number
1962058628
Active
Practice location
8731 W Pico Blvd
Los Angeles, CA 90035-2205
Mailing address
25145 Southport St
Laguna Hills, CA 92653-4922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95012485 (CA) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1962058628
Long Khac Tran, NP's National Provider Identifier is 1962058628, issued on Aug 17, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on May 11, 2021.