Healthcare Provider Details

I. General information

NPI: 1922390921
Provider Name (Legal Business Name): HANH T TRAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2011
Last Update Date: 05/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 DISCOVERY DR
BAKERSFIELD CA
93309-7032
US

IV. Provider business mailing address

8073 CAMBRIA CIR
STANTON CA
90680-8503
US

V. Phone/Fax

Practice location:
  • Phone: 661-852-3533
  • Fax:
Mailing address:
  • Phone: 909-210-1826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number62806
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number62806
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number62806
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number62806
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number62806
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: