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Individual

DR. AN TRANVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 N JACKSON AVE STE 103, SAN JOSE, CA 95116-1913
(408) 251-9191
(408) 251-9192
Mailing address
105 N JACKSON AVE STE 103, SAN JOSE, CA 95116-1913
(408) 251-9191
(408) 251-9192

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G82264
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G822640
BLUE SHIELD OF CALIFORNIA
CA
05
00G822640
CA
Enumeration date
09/16/2006
Last updated
07/08/2007
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