Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT292576 | CA |
N | 2251C2600X | Cardiopulmonary | ||
N | 2251G0304X | Physical Therapist - Geriatrics | ||
N | 2251N0400X | Physical Therapist - Neurology | ||
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1851911820 |
---|---|
Provider Name | Dr. David Tran |
First Address | Studio City, CA 91602-2002 |
Second Address | Studio City, CA 91602-2002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2020 |
Last Update Date | 20/04/2020 |