Healthcare Provider Details

I. General information

NPI: 1902804230
Provider Name (Legal Business Name): DAVID D TRAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 08/28/2021
Certification Date: 08/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SHRADER ST STE 510
SAN FRANCISCO CA
94117-1034
US

IV. Provider business mailing address

751 NAPLES ST
SAN FRANCISCO CA
94112-3554
US

V. Phone/Fax

Practice location:
  • Phone: 415-759-2014
  • Fax:
Mailing address:
  • Phone: 415-325-5292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE4274
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: