MEDICARE: ERICA L 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	163W00000X	Registered Nurse	95224936	CA
2	363L00000X	Nurse Practitioner	95017147	CA

General Provider Information

NPI Number	:	1669072690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA L TRAN

Provider Business Mailing Address
First Line	:	797 S FAIR OAKS AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-2629
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	797 S FAIR OAKS AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-2629
Country	:	US
Telephone Number	:	626-201-8160
Fax Number	:

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

Provider Enumeration Date	:	10/28/2020
Last Update Date	:	06/27/2025

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Directions to “ ERICA L TRAN ” Practice Location

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