Healthcare Provider Details

I. General information

NPI: 1700529484
Provider Name (Legal Business Name): JOSEPH TRAN FNP-C, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 W SUNSET BLVD STE 812
LOS ANGELES CA
90069-3709
US

IV. Provider business mailing address

115 E CITY PLACE DR
SANTA ANA CA
92705-6010
US

V. Phone/Fax

Practice location:
  • Phone: 310-550-1010
  • Fax:
Mailing address:
  • Phone: 949-335-8465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95018559
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95018559
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: