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NPI Code Detail

MEDICARE: VIVI JENNIFER TRAN FNP-BC

MEDICARE: VIVI JENNIFER TRAN FNP-BC
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
1363LF0000XFamily Nurse Practitioner95030572CA

General Provider Information

NPI Number : 1184450215
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVI JENNIFER TRAN FNP-BC
Provider Business Mailing Address
First Line : 4699 JAMBOREE RD
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2526
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4699 JAMBOREE RD
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2526
Country : US
Telephone Number : 949-557-0951
Fax Number : 949-764-5262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2024
Last Update Date : 03/31/2026

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Directions to “ VIVI JENNIFER TRAN FNP-BC” Practice Location

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