MEDICARE: ALEXIS TRAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	86449	CA

General Provider Information

NPI Number	:	1053039826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS TRAN

Provider Business Mailing Address
First Line	:	11262 MAC ST
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92841-1619
Country	:	US
Telephone Number	:	714-326-8090
Fax Number	:

Provider Business Practice Location Address
First Line	:	8440 E CHAPMAN AVE
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92869-2459
Country	:	US
Telephone Number	:	714-771-7933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	08/18/2022

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Directions to “ ALEXIS TRAN ” Practice Location

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