Healthcare Provider Details

I. General information

NPI: 1659483790
Provider Name (Legal Business Name): ALAN TRAN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11160 WARNER AVE SUITE 223
FOUNTAIN VALLEY CA
92708-4008
US

IV. Provider business mailing address

11160 WARNER AVE SUITE 223
FOUNTAIN VALLEY CA
92708-4008
US

V. Phone/Fax

Practice location:
  • Phone: 714-966-2888
  • Fax: 714-966-2999
Mailing address:
  • Phone: 714-966-2888
  • Fax: 714-966-2999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ALAN T TRAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-966-2888