Healthcare Provider Details

I. General information

NPI: 1023973641
Provider Name (Legal Business Name): KURT TRAN DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3851 KATELLA AVE STE 125
LOS ALAMITOS CA
90720-3379
US

IV. Provider business mailing address

711 PACIFIC COAST HWY UNIT 411
HUNTINGTON BEACH CA
92648-5068
US

V. Phone/Fax

Practice location:
  • Phone: 562-286-2676
  • Fax: 562-314-1990
Mailing address:
  • Phone: 714-343-0255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. KURT KHOI TRAN
Title or Position: GENERAL DENTIST
Credential: DDS
Phone: 714-343-0255