Individual
NGAN K TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1047 E CAPITOL EXPY, SAN JOSE, CA 95121-2415
(408) 754-8988
Mailing address
1047 E CAPITOL EXPY, SAN JOSE, CA 95121-2415
(669) 225-5655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
22668
CA
363AM0700X
Medical Physician Assistant
Primary
22668
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457439572
MEDICARE GROUP NPI
CA
05
—
1457439572
—
CA
Enumeration date
11/06/2012
Last updated
05/11/2017
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