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NPI Code Detail

MEDICARE: THERESA TRAN

MEDICARE: THERESA 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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1689530842
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA TRAN
Provider Business Mailing Address
First Line : 120 BYRNE ST
Second Line :
City : DALY CITY
State : CA
Zip : 94014-2708
Country : US
Telephone Number : 510-881-1606
Fax Number :
Provider Business Practice Location Address
First Line : 18949 REDWOOD RD
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-3153
Country : US
Telephone Number : 510-881-1606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2026
Last Update Date : 01/01/2026

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Directions to “ THERESA TRAN ” Practice Location

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