Provider Demographics
NPI:1417009168
Name:TRAN, CHERRIE ANN SINSON (OD)
Entity Type:Individual
Prefix:DR
First Name:CHERRIE ANN
Middle Name:SINSON
Last Name:TRAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4767 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-3027
Mailing Address - Country:US
Mailing Address - Phone:323-263-9173
Mailing Address - Fax:323-269-3809
Practice Address - Street 1:4767 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-3027
Practice Address - Country:US
Practice Address - Phone:323-263-9173
Practice Address - Fax:323-269-3809
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11747T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0117470Medicaid
CAU88023Medicare UPIN
CAWOP11747AMedicare ID - Type UnspecifiedOPTOMTERY