Healthcare Provider Details

I. General information

NPI: 1184397747
Provider Name (Legal Business Name): NATALIE TRAN PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 07/29/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDRENS PL
MADERA CA
93636-8762
US

IV. Provider business mailing address

927 TREASURE HILLS DR
MADERA CA
93636-8048
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-5501
  • Fax:
Mailing address:
  • Phone: 408-655-3085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License Number81851
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: