Individual
CHARLENE MY-HIEN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8650 SAN YSIDRO AVE, STE 104, GILROY, CA 95020-5267
(408) 848-9922
(408) 848-9944
Mailing address
3205 VICTOR CT, SAN JOSE, CA 95132-1909
(408) 929-8557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 12966
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215115522
—
CA
Enumeration date
01/04/2007
Last updated
02/26/2014
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