Basic Information
| Provider Information | |||||||||
| NPI: | 1386272821 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TRAN | ||||||||
| FirstName: | CINDY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 633 KING ST | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941071530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155173711 | ||||||||
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| Practice Location | |||||||||
| Address1: | 400 30TH ST STE 300 | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946093318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5106280954 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2020 | ||||||||
| LastUpdateDate: | 04/12/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/12/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | RPH81412 | CA | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.