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NPI Code Detail

MEDICARE: ASHLEY BAO TRAN

MEDICARE: ASHLEY BAO 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
1183500000XPharmacistRPH61874CA

General Provider Information

NPI Number : 1093036998
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY BAO TRAN
Provider Business Mailing Address
First Line : 1423 S GLADYS AVE
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91776-3644
Country : US
Telephone Number : 626-307-3856
Fax Number :
Provider Business Practice Location Address
First Line : 1433 GLENDALE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-2428
Country : US
Telephone Number : 213-483-3468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2010
Last Update Date : 06/15/2010

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Directions to “ ASHLEY BAO TRAN ” Practice Location

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