MEDICARE: HUY TRAN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	S3-401	NV
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	108882	CA

General Provider Information

NPI Number	:	1538545058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUY TRAN D.D.S.

Provider Business Mailing Address
First Line	:	15600 IRENE WAY
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-7524
Country	:	US
Telephone Number	:	714-200-4631
Fax Number	:

Provider Business Practice Location Address
First Line	:	3580 GRAND AVE STE K
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-5401
Country	:	US
Telephone Number	:	909-548-6900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2015
Last Update Date	:	12/19/2025

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