Provider Demographics
NPI:1316615172
Name:TRAN, DUANGELA BICH
Entity type:Individual
Prefix:MS
First Name:DUANGELA
Middle Name:BICH
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DU
Other - Middle Name:BICH
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2114 SENTER RD STE 20
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-2608
Mailing Address - Country:US
Mailing Address - Phone:510-827-0983
Mailing Address - Fax:
Practice Address - Street 1:2670 S WHITE RD STE 200
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-2073
Practice Address - Country:US
Practice Address - Phone:408-937-1553
Practice Address - Fax:408-516-0053
Is Sole Proprietor?:No
Enumeration Date:2021-09-04
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator