Provider Demographics
NPI:1336514991
Name:TRAN, ANH LE NGOC (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANH
Middle Name:LE NGOC
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7723 FERN AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-3034
Mailing Address - Country:US
Mailing Address - Phone:626-454-0656
Mailing Address - Fax:
Practice Address - Street 1:2425 PORTER ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90021-2510
Practice Address - Country:US
Practice Address - Phone:888-545-6464
Practice Address - Fax:800-280-2939
Is Sole Proprietor?:No
Enumeration Date:2015-12-08
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist