Individual
STACEY TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3040
Mailing address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
207VX0000X
Obstetrics Physician
Primary
A204405
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2016
Last updated
10/04/2025
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