Healthcare Provider Details

I. General information

NPI: 1376120469
Provider Name (Legal Business Name): HANH T TRAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W TOWN AND COUNTRY RD STE 1225
ORANGE CA
92868-4638
US

IV. Provider business mailing address

17732 BEACH BLVD STE G
HUNTINGTON BEACH CA
92647-6881
US

V. Phone/Fax

Practice location:
  • Phone: 714-542-2400
  • Fax:
Mailing address:
  • Phone: 714-655-7142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: