MEDICARE: MRS. VY THAO TRAN LCSW

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	104100000X	Social Worker	LCSW100334	CA

General Provider Information

NPI Number	:	1841432895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VY THAO TRAN LCSW

Provider Business Mailing Address
First Line	:	9901 ARTESIA BLVD
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-6713
Country	:	US
Telephone Number	:	562-484-3385
Fax Number	:	562-484-0269

Provider Business Practice Location Address
First Line	:	9901 ARTESIA BLVD
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-6713
Country	:	US
Telephone Number	:	562-484-3385
Fax Number	:	562-484-0269

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

Provider Enumeration Date	:	04/06/2009
Last Update Date	:	07/21/2022

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