Healthcare Provider Details

I. General information

NPI: 1023659448
Provider Name (Legal Business Name): LINDA LIEN TRAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2019
Last Update Date: 05/26/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 N JACKSON AVE PHARMACY DEPARTMENT
SAN JOSE CA
95116
US

IV. Provider business mailing address

225 N JACKSON AVE
SAN JOSE CA
95116-1603
US

V. Phone/Fax

Practice location:
  • Phone: 408-259-5000
  • Fax:
Mailing address:
  • Phone: 408-729-2831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number73072
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: