Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 48047 | CA |
Y | 213EG0000X | General Practice | 48047 | CA |
NPI | 1003929738 |
---|---|
Provider Name | Dr. Andrew Anh Tran |
First Address | Valencia, CA 91355-1828 |
Second Address | Valencia, CA 91355-1828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 25/06/2010 |