Individual
AMANDA RUTH TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8008 FROST ST STE 106, SAN DIEGO, CA 92123-4229
(858) 939-5434
Mailing address
8008 FROST ST STE 106, SAN DIEGO, CA 92123-4229
(858) 939-5434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8659
AZ
363AS0400X
Surgical Physician Assistant
Primary
62758
CA
363AS0400X
Surgical Physician Assistant
8659
AZ
Other
Enumeration date
09/14/2021
Last updated
11/22/2023
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