Provider Demographics
NPI:1740422492
Name:TRAN, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 BRIDGEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95138-2700
Mailing Address - Country:US
Mailing Address - Phone:408-476-1347
Mailing Address - Fax:408-519-5931
Practice Address - Street 1:88 TULLY RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95111-1923
Practice Address - Country:US
Practice Address - Phone:408-476-1347
Practice Address - Fax:408-519-5931
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies