Healthcare Provider Details

I. General information

NPI: 1538545058
Provider Name (Legal Business Name): HUY TRAN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2015
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3580 GRAND AVE STE K
CHINO HILLS CA
91709-5401
US

IV. Provider business mailing address

15600 IRENE WAY
WESTMINSTER CA
92683-7524
US

V. Phone/Fax

Practice location:
  • Phone: 909-548-6900
  • Fax:
Mailing address:
  • Phone: 714-200-4631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberS3-401
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number108882
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: