Healthcare Provider Details

I. General information

NPI: 1942152772
Provider Name (Legal Business Name): NGUYEN DINH TRAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 W SUNSET BLVD
LOS ANGELES CA
90027-6062
US

IV. Provider business mailing address

10000 SANTA MONICA BLVD UNIT 908
LOS ANGELES CA
90067-7012
US

V. Phone/Fax

Practice location:
  • Phone: 323-660-2450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number27640
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: