Provider Demographics
NPI:1982363339
Name:TRAN, CINDY TANG (PHARMD)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:TANG
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 1:14589 CAMINO DEL NORTE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-5801
Mailing Address - Country:US
Mailing Address - Phone:858-451-1050
Mailing Address - Fax:
Practice Address - Street 1:14589 CAMINO DEL NORTE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-5801
Practice Address - Country:US
Practice Address - Phone:858-451-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist