Healthcare Provider Details

I. General information

NPI: 1528714227
Provider Name (Legal Business Name): CHRISTINE TRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2022
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 S WESTGATE AVE
LOS ANGELES CA
90025-6118
US

IV. Provider business mailing address

2170 CENTURY PARK E APT 109
LOS ANGELES CA
90067-2203
US

V. Phone/Fax

Practice location:
  • Phone: 310-899-9597
  • Fax:
Mailing address:
  • Phone: 310-854-9968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: