Individual
DR. DI DAC TRAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2395 MONTPELIER DR, UNIT 6, SAN JOSE, CA 95116-1619
(408) 272-9228
(408) 272-0762
Mailing address
2395 MONTPELIER DR, UNIT 6, SAN JOSE, CA 95116-1619
(408) 272-9228
(408) 272-0762
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A52125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A521250
MEDI-CAL NUMBER
CA
Enumeration date
10/12/2005
Last updated
07/08/2007
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