Individual ProviderLily TranSocial WorkerBehavioral Health & Social Service ProvidersPractice Address210 N 4th St, Suite 100, San Jose, CA 95112-5569(408) 295-5288PECOS EnrollmentBased on the most recent information from CMS, provider Lily Tran does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1245598044Provider TypeIndividualFull NameTran, LilyGenderFemaleSole ProprietorNoEnumeration Date4/30/2012Last Updated4/30/2012Contact InformationPractice LocationPractice Address210 N 4th St, Suite 100, San Jose, CA 95112-5569Phone(408) 295-5288Fax(408) 292-1029Mailing LocationMailing Address210 N 4th St, Suite 100, San Jose, CA 95112-5569Phone(408) 295-5288Fax(408) 292-1029Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer