Organization
AN TRANVAN, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AN TRANVAN MD (PRESIDENT)
(408) 251-9191
Entity
Organization
Contact information
Practice address
105 N JACKSON AVE STE 103, SAN JOSE, CA 95116-1913
(408) 251-9191
(408) 251-9192
Mailing address
105 N JACKSON AVE STE 103, SAN JOSE, CA 95116-1913
(408) 251-9191
(408) 251-9192
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G82264
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G822640
BLUE SHIELD OF CALIFORNIA
CA
05
—
00G822640
—
CA
Enumeration date
09/16/2006
Last updated
08/22/2020
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