Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | A124071 | CA |
Y | 207RP1001X | Pulmonary Disease | A124071 | CA |
NPI | 1053641563 |
---|---|
Provider Name | Sheri Tran |
First Address | Encinitas, CA 92024-5138 |
Second Address | San Diego, CA 92161-2357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2010 |
Last Update Date | 10/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1053641563 | (05) | CA |