Healthcare Provider Details

I. General information

NPI: 1962665786
Provider Name (Legal Business Name): DIANE D TRAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DUC THI PHUC TRAN MD

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26800 CROWN VALLEY PKWY STE 250
MISSION VIEJO CA
92691-8038
US

IV. Provider business mailing address

11234 ANDERSON ST # 1617
LOMA LINDA CA
92350-1716
US

V. Phone/Fax

Practice location:
  • Phone: 949-364-3570
  • Fax:
Mailing address:
  • Phone: 909-558-4754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number16613
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberA135647
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number12218 16015811 1A
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA135647
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: