Provider Demographics
NPI:1134544950
Name:TRAN, TRINA (PHARMD)
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:
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 1:600 CITY PKWY W
Mailing Address - Street 2:SUITE 700
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2968
Mailing Address - Country:US
Mailing Address - Phone:714-796-5924
Mailing Address - Fax:
Practice Address - Street 1:600 CITY PKWY W
Practice Address - Street 2:SUITE 700
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2968
Practice Address - Country:US
Practice Address - Phone:714-796-5924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54241183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist