Healthcare Provider Details

I. General information

NPI: 1740199728
Provider Name (Legal Business Name): SANG TRAN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1470 VALLEY VISTA DR STE 103
DIAMOND BAR CA
91765-3903
US

IV. Provider business mailing address

2809 MOUNTAIN RIDGE RD
WEST COVINA CA
91791-3759
US

V. Phone/Fax

Practice location:
  • Phone: 310-561-9353
  • Fax:
Mailing address:
  • Phone: 310-561-9353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SANG TRAN
Title or Position: OWNER
Credential: MD
Phone: 310-561-9353