Provider Demographics
NPI:1245456672
Name:TRAN, PHI LE (DO)
Entity type:Individual
Prefix:DR
First Name:PHI
Middle Name:LE
Last Name:TRAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:9850 GENESEE AVE STE 900
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1220
Mailing Address - Country:US
Mailing Address - Phone:858-626-7780
Mailing Address - Fax:858-626-4604
Practice Address - Street 1:9850 GENESEE AVE STE 900
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037
Practice Address - Country:US
Practice Address - Phone:858-626-7780
Practice Address - Fax:858-626-4604
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A16597207R00000X, 208M00000X
MI5101016853207R00000X
CT48296207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine