Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 31711 | CA |
NPI | 1356641054 |
---|---|
Provider Name | Dr. Darlene Tran Van |
First Address | San Jose, CA 95111-1725 |
Second Address | San Jose, CA 95112-2610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2010 |
Last Update Date | 27/10/2010 |