Healthcare Provider Details

I. General information

NPI: 1912835000
Provider Name (Legal Business Name): HUYNH TRAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CORPORATE PLAZA DR STE 100
NEWPORT BEACH CA
92660-7924
US

IV. Provider business mailing address

1 CORPORATE PLAZA DR STE 100
NEWPORT BEACH CA
92660-7924
US

V. Phone/Fax

Practice location:
  • Phone: 949-722-7070
  • Fax:
Mailing address:
  • Phone: 949-722-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC35299
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: