Individual provider · Type 1 NPI

Phuong Thi Kim Tran, PA-C

Medical Physician Assistant · San Diego, CA

NPI number 1063532232 Active

Practice location

6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715

Call (858) 859-1188 Map

Mailing address

10444 Flanders Cv
San Diego, CA 92126-3031

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 18370 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1063532232

Phuong Thi Kim Tran, PA-C's National Provider Identifier is 1063532232, issued on Mar 30, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Oct 27, 2022.