Individual
DR. KHANH PHUONG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 4TH AVE, STE 100, SAN DIEGO, CA 92101-2303
(858) 499-2600
Mailing address
2001 4TH AVE, STE 100, SAN DIEGO, CA 92101-2303
(858) 499-2600
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
G83982
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G83982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G839820
—
CA
Enumeration date
08/03/2006
Last updated
11/16/2015
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