Healthcare Provider Details

I. General information

NPI: 1831969641
Provider Name (Legal Business Name): ARLENE ANKY TRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2024
Last Update Date: 01/03/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N GENEVA ST
ANAHEIM CA
92801-3238
US

IV. Provider business mailing address

800 N GENEVA ST
ANAHEIM CA
92801-3238
US

V. Phone/Fax

Practice location:
  • Phone: 714-488-1888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number89093
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: