Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 12218 16015811 1A | CT |
N | 111NI0900X | Internist | 12218 16015811 1A | CT |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A135647 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | 16613 | HI |
N | 207RC0000X | Internist - Cardiovascular Disease | A135647 | CA |
NPI | 1962665786 |
---|---|
Provider Name | Dr. Diane D Tran |
First Address | Loma Linda, CA 92354-2804 |
Second Address | Loma Linda, CA 92354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2008 |
Last Update Date | 03/08/2021 |