Provider Demographics
NPI:1225206972
Name:TRAN, LOANNE (DAOM, LAC)
Entity type:Individual
Prefix:
First Name:LOANNE
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13450 SAN LUIS AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-4965
Mailing Address - Country:US
Mailing Address - Phone:909-274-0186
Mailing Address - Fax:
Practice Address - Street 1:14151 NEWPORT AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-5163
Practice Address - Country:US
Practice Address - Phone:714-838-8931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11863171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist