=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134251168
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINH TRAN RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 795 EL CAMINO REAL
-----------------------------------------------------
City | PALO ALTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94301-2302
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 950-853-6020
-----------------------------------------------------
Fax | 650-853-2923
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2987 MOUNTAIN DR
-----------------------------------------------------
City | FREMONT
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94555-1363
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-853-6020
-----------------------------------------------------
Fax | 650-853-2923
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | PL37580
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------