Healthcare Provider Details

I. General information

NPI: 1245144542
Provider Name (Legal Business Name): 3TTT A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11420 WARNER AVE
FOUNTAIN VALLEY CA
92708-2529
US

IV. Provider business mailing address

11420 WARNER AVE
FOUNTAIN VALLEY CA
92708-2529
US

V. Phone/Fax

Practice location:
  • Phone: 858-230-4505
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: RICHARD TUNG TRAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 858-230-4505