Provider Demographics
NPI:1689695090
Name:TRAN-PEREZ, ALEXANDRA PHUONG (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:PHUONG
Last Name:TRAN-PEREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PHUONG ALEXANDRA
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:20077 JOHN DR
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-4414
Mailing Address - Country:US
Mailing Address - Phone:408-981-6453
Mailing Address - Fax:408-865-0109
Practice Address - Street 1:260 INTERNATIONAL CIR
Practice Address - Street 2:ONE NORTH, MEDICAL TWO
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1130
Practice Address - Country:US
Practice Address - Phone:408-972-6006
Practice Address - Fax:408-972-6271
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74949207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine