Healthcare Provider Details

I. General information

NPI: 1487673752
Provider Name (Legal Business Name): DO TRAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 MARTIN LUTHER KING JR WAY
OAKLAND CA
94612-1318
US

IV. Provider business mailing address

2221 MARTIN LUTHER KING JR WAY
OAKLAND CA
94612-1318
US

V. Phone/Fax

Practice location:
  • Phone: 510-267-7837
  • Fax: 510-267-7879
Mailing address:
  • Phone: 510-267-7837
  • Fax: 510-267-7879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QV0200X
TaxonomyVA Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number37866
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: