Healthcare Provider Details

I. General information

NPI: 1891635199
Provider Name (Legal Business Name): YEN TRAN M.A., AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 SAN BERNARDINO ST
MONTCLAIR CA
91763-2328
US

IV. Provider business mailing address

301 S GLENDORA AVE UNIT 2237
WEST COVINA CA
91790-5922
US

V. Phone/Fax

Practice location:
  • Phone: 909-579-9501
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT161235
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: