Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | A106360 | CA |
Y | 207RI0011X | Interventional Cardiology | A106360 | CA |
NPI | 1104065440 |
---|---|
Provider Name | Dr. Bao G Tran |
First Address | San Francisco, CA 94115-3379 |
Second Address | San Francisco, CA 94117-1078 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2009 |
Last Update Date | 05/10/2021 |