Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A139964 | CA |
NPI | 1154740819 |
---|---|
Provider Name | David Loc Tran |
First Address | Mountain View, CA 94040-6203 |
Second Address | Sunnyvale, CA 94086 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2014 |
Last Update Date | 10/12/2018 |