St. Paul Medical Clinic a Professional Corporation

NPI #1629142062 in Van Nuys, California

Provider Information

NPI Number: 1629142062
Entity Type: Organization
Organization Name: St. Paul Medical Clinic a Professional Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Nov 18, 2006
Last Updated: Jul 1, 2019

Practice Location

Address: 15216 VANOWEN ST STE 2A
City: Van Nuys
State: California
ZIP Code: 91405-3679
Phone: (818) 989-2406

Authorized Official

Name: DR. ANHTUAN DANG TRAN, M.D.
Title: PRESIDENT
Phone: (818) 989-2406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Internal Medicine	207R00000X	Primary

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