Individual
DR. AMANDA TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
520 SUPERIOR AVE STE 150, NEWPORT BEACH, CA 92663-3642
(949) 764-8065
Mailing address
4828 CYPRESS ST UNIT 404, MONTCLAIR, CA 91763-1443
(408) 375-5354
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
78797
CA
1835P2201X
Ambulatory Care Pharmacist
Primary
78797
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78797
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
03/08/2021
Last updated
12/08/2022
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