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NPI Code Detail

MEDICARE: CHRISTINE VIVI TRAN PHARMD

MEDICARE: CHRISTINE VIVI TRAN PHARMD
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
1183500000XPharmacist78275CA

General Provider Information

NPI Number : 1992286397
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE VIVI TRAN PHARMD
Provider Business Mailing Address
First Line : 550 S REYNOLDS PL
Second Line :
City : ANAHEIM
State : CA
Zip : 92806-4220
Country : US
Telephone Number : 714-398-4768
Fax Number :
Provider Business Practice Location Address
First Line : 78218 VARNER RD
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-4134
Country : US
Telephone Number : 760-200-4382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 08/23/2018

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Directions to “ CHRISTINE VIVI TRAN PHARMD” Practice Location

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