Individual
DR. JADE CONNIE TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,M.P.H.
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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