| Doctor Name: | DUONG TRAN |
| NPI Number: | 1164878773 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 95004335 |
| Business Practice Address: | 325 Posada Ln A Templeton, CA - 934654003 |
| Business Phone Number: | 8055426700 |
| Business Fax Number: | 8055426791 |
| Mailing Address: | 2050 S Blosser Rd, SANTA MARIA |
| State: | CA |
| Postal Code: | 934587310 |
| Phone Number: | 8053618028 |
| Fax Number: | 8053618097 |
| NPI Enumeration Date: | 05/12/2016 |
| NPI Last Update Date: | 05/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 95004335 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |