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NPI Code Detail

MEDICARE: DALENA TUONG VI TRAN

MEDICARE: DALENA TUONG VI TRAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2183500000XPharmacist88033CA

General Provider Information

NPI Number : 1306575261
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALENA TUONG VI TRAN
Provider Business Mailing Address
First Line : 11301 WILSHIRE BLVD BLDG 500
Second Line :
City : LOS ANGELES
State : CA
Zip : 90073-1003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11301 WILSHIRE BLVD BLDG 500
Second Line :
City : LOS ANGELES
State : CA
Zip : 90073-1003
Country : US
Telephone Number : 310-478-3711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2022
Last Update Date : 06/11/2026

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Directions to “ DALENA TUONG VI TRAN ” Practice Location

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