Basic Information
| Provider Information | |||||||||
| NPI: | 1427492891 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TRAN | ||||||||
| FirstName: | VIVIAN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7565 MISSION VALLEY RD STE 200-S91 | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921084431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6192452350 | ||||||||
| FaxNumber: | 6192452893 | ||||||||
| Practice Location | |||||||||
| Address1: | 7565 MISSION VALLEY RD STE 200-S91 | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921084431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6192452350 | ||||||||
| FaxNumber: | 6192452893 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2013 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A132706 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.