Provider Demographics
NPI:1366184756
Name:TRAN, CALVIN ANDREW (MD)
Entity type:Individual
Prefix:
First Name:CALVIN
Middle Name:ANDREW
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2230 STOCKTON BLVD RM 202
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1353
Mailing Address - Country:US
Mailing Address - Phone:916-734-7523
Mailing Address - Fax:916-734-3384
Practice Address - Street 1:2230 STOCKTON BLVD RM 202
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1353
Practice Address - Country:US
Practice Address - Phone:916-734-7523
Practice Address - Fax:916-734-3384
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-07
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA1901362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty