Healthcare Provider Details

I. General information

NPI: 1639697758
Provider Name (Legal Business Name): LENI NGOC TRAN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HIEN NGOC TRAN

II. Dates (important events)

Enumeration Date: 09/08/2017
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 STOCKTON BLVD
SACRAMENTO CA
95817-1353
US

IV. Provider business mailing address

1930 MARKET ST
SAN FRANCISCO CA
94102-6228
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-7539
  • Fax:
Mailing address:
  • Phone: 415-476-3902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number34485
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: