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Individual

DR. JADE CONNIE TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.,M.P.H.

Contact information

Practice address
11234 ANDERSON ST STE 1617, JOHNS HOPKINS HOSPITAL - TAUSSIG HEART CENTER, LOMA LINDA, CA 92354-2804
(909) 558-4207
(410) 955-0897
Mailing address
11234 ANDERSON ST STE 1617, LOMA LINDA UNIVERSITY HEALTH - INTERNATIONAL HEART INST, LOMA LINDA, CA 92354-2804
(909) 558-4207
(410) 955-0897

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A112503
CA
207RH0005X
Hypertension Specialist Physician
A112503
CA
208000000X
Pediatrics Physician
Primary
A112503
CA
2080P0202X
Pediatric Cardiology Physician
A112503
CA
282NC2000X
Children's Hospital
T8182
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A112503
CALIFORNIA STATE LICENSE
CA
Enumeration date
05/25/2010
Last updated
01/18/2017
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