Tran, Tracy

Tran, Tracy is an sole proprietor health care provider with primary practice located at 625 E Valley Blvd , San Gabriel CA 91776-3591. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tran, Tracy can be contacted via phone (626) 572-4658.

Contact Information

Primary practice address
625 E Valley Blvd San Gabriel CA 91776-3591
Phone: (626) 572-4658
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95014352 California

Profile Details

NPI number 1235768920
LBN Legal business name Tran, Tracy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2020
Last updated Apr 3rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235768920 NPPES
California MEDICAID 102105568

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