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General NPI Number Information
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NPI Number | 1013461516
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Entity Type | Individual
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Provider Name | MR. NAM TRAN
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Gender | Male
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Dates
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Enumeration Date | 08/12/2016
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Last Update Date | 08/12/2016
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Provider Practice Location Address
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Address Line | 861 HAROLD PL STE 205
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City | CHULA VISTA
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State | CA
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Zip | 91914-4554
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Country | US
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Telephone | 619-255-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 6924 HYDE PARK DR UNIT 117
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City | SAN DIEGO
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State | CA
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Zip | 92119-2251
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Country | US
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Telephone | 209-598-7156
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 1583
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License Number State | CA
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