Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPT13880 | CA |
NPI | 1013211523 |
---|---|
Provider Name | Kari Tran |
First Address | San Jose, CA 95116-1620 |
Second Address | San Jose, CA 95116-1620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2010 |
Last Update Date | 21/10/2019 |