| Doctor Name: | YEN TRAN |
| NPI Number: | 1093187676 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PCCI 2200 |
| Business Practice Address: | 205 Pasadena Ave South Pasadena, CA - 910302919 |
| Business Phone Number: | 3233445536 |
| Business Fax Number: | |
| Mailing Address: | 205 Pasadena Ave, SOUTH PASADENA |
| State: | CA |
| Postal Code: | 910302919 |
| Phone Number: | 3233445536 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2015 |
| NPI Last Update Date: | 10/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PCCI 2200 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |