Provider Demographics
NPI:1023730116
Name:TRAN, JOHNNY DUY (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:JOHNNY
Middle Name:DUY
Last Name:TRAN
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13362 REDBIRD ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-3030
Mailing Address - Country:US
Mailing Address - Phone:714-661-0894
Mailing Address - Fax:
Practice Address - Street 1:535 S PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-4220
Practice Address - Country:US
Practice Address - Phone:310-540-2228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH86766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist