Provider Demographics
NPI:1609952704
Name:TRAN TESORO, JANE H (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:H
Last Name:TRAN TESORO
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:PO BOX 6652
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802-6652
Mailing Address - Country:US
Mailing Address - Phone:626-458-0442
Mailing Address - Fax:
Practice Address - Street 1:201 CENTRE PLAZA DR
Practice Address - Street 2:DEPARTMENT 425
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-2142
Practice Address - Country:US
Practice Address - Phone:323-526-6387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 502861835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric