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Individual

CHRISTOPHER VI TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5579 LEAN AVENUE, SAN JOSE, CA 95123
(408) 890-1644
Mailing address
5579 LEAN AVENUE, SAN JOSE, CA 95123
(408) 890-1644

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CBQ926A51475
ANTHEM BLUE CROSS
CA
Enumeration date
03/24/2017
Last updated
03/24/2017
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