Healthcare Provider Details

I. General information

NPI: 1528739885
Provider Name (Legal Business Name): CATHY YEN BAO TRAN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2021
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29675 THE OLD RD
CASTAIC CA
91384-4570
US

IV. Provider business mailing address

29675 THE OLD RD
CASTAIC CA
91384-4570
US

V. Phone/Fax

Practice location:
  • Phone: 661-702-6936
  • Fax: 661-702-1542
Mailing address:
  • Phone: 714-620-9152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number85199
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: