Individual
DIANE TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 PETERSEN AVE, SAN JOSE, CA 95129-4844
(408) 253-7502
Mailing address
2985 LONE BLUFF WAY, SAN JOSE, CA 95111-1130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16468442
KAISER HMO
CA
Enumeration date
05/16/2019
Last updated
05/16/2019
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