Provider Demographics
NPI:1184108490
Name:TRAN, MCSHIRLEY MATH (PA)
Entity type:Individual
Prefix:
First Name:MCSHIRLEY
Middle Name:MATH
Last Name:TRAN
Suffix:
Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:3707 POINCIANA DR APT 80
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-2039
Mailing Address - Country:US
Mailing Address - Phone:818-300-6272
Mailing Address - Fax:
Practice Address - Street 1:2670 S WHITE RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-2071
Practice Address - Country:US
Practice Address - Phone:408-729-4290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA56007363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant