Healthcare Provider Details

I. General information

NPI: 1306757901
Provider Name (Legal Business Name): HA THI TRAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13052 TONOPAH ST
ARLETA CA
91331-4942
US

IV. Provider business mailing address

13052 TONOPAH ST
ARLETA CA
91331-4942
US

V. Phone/Fax

Practice location:
  • Phone: 818-938-3170
  • Fax: 818-938-3170
Mailing address:
  • Phone: 818-938-3170
  • Fax: 818-938-3170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number02250492
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: