Individual
ELISE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865
(657) 261-7140
(714) 922-1032
Mailing address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865
(657) 261-7140
(714) 922-1032
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-RQBZUX
CA
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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