Provider Demographics
NPI:1114518586
Name:TRAN, ANNE DAO
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:DAO
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7891 GLENCOE DR APT 1
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7816
Mailing Address - Country:US
Mailing Address - Phone:714-457-6028
Mailing Address - Fax:949-265-9020
Practice Address - Street 1:23961 CALLE DE LA MAGDALENA STE 100
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3616
Practice Address - Country:US
Practice Address - Phone:949-380-8700
Practice Address - Fax:949-380-0112
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14585183500000X
CARPH51524183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist