Healthcare Provider Details

I. General information

NPI: 1619818630
Provider Name (Legal Business Name): WYNN MEDICAL CENTER INTERNAL MEDICINE-MULTISPECIALTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10402 WESTMINSTER AVE STE 100D
GARDEN GROVE CA
92843-4861
US

IV. Provider business mailing address

10402 WESTMINSTER AVE STE 100D
GARDEN GROVE CA
92843-4861
US

V. Phone/Fax

Practice location:
  • Phone: 714-462-2225
  • Fax:
Mailing address:
  • Phone: 714-462-2225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HUYNH WYNN TRAN
Title or Position: PRESIDENT/CEO
Credential: MD FACP
Phone: 714-462-2225