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Tyler Thanh Tran

Social Worker in Fountain Valley, CA. Individual provider (NPI-1).

NPI number1497417596
StatusActive
Last updated in NPPESAug 24, 2023

Details

NPI
1497417596
Entity type
Individual (NPI-1)
Name
Tyler Thanh Tran
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 6, 2021
Certification date
Aug 22, 2023
Last updated
Aug 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerASW116562CAYes
172V00000X Community Health Worker––

Practice location

18350 Mount Langley St Ste 220
Fountain Valley, CA 92708-6912

Phone 949-278-4099

Mailing address

18350 Mount Langley St Ste 220
Fountain Valley, CA 92708-6912

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