Individual
CHRISTOPHER TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11441 HEACOCK ST STE F, MORENO VALLEY, CA 92557-7907
(951) 243-8000
Mailing address
24856 SKYLAND DR, MORENO VALLEY, CA 92557-5138
(951) 378-3829
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95015373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A6245522
—
CA
Enumeration date
10/02/2020
Last updated
10/02/2020
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