Healthcare Provider Details

I. General information

NPI: 1497686430
Provider Name (Legal Business Name): GIANNA TRAN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 2165
CORONA CA
92878-2165
US

IV. Provider business mailing address

PO BOX 2165
CORONA CA
92878-2165
US

V. Phone/Fax

Practice location:
  • Phone: 909-438-1252
  • Fax:
Mailing address:
  • Phone: 909-438-1252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163638
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: