Healthcare Provider Details

I. General information

NPI: 1447593868
Provider Name (Legal Business Name): DE LA PAZ MEDICAL CENTRE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

934 S EUCLID ST
ANAHEIM CA
92802
US

IV. Provider business mailing address

934 S EUCLID ST
ANAHEIM CA
92802-1523
US

V. Phone/Fax

Practice location:
  • Phone: 714-254-0224
  • Fax: 714-254-0234
Mailing address:
  • Phone: 714-254-0224
  • Fax: 714-254-0234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG77372
License Number StateCA

VIII. Authorized Official

Name: THAI GIA DIEU TRAN
Title or Position: PRESIDENT
Credential: PA
Phone: 714-254-0224