Healthcare Provider Details

I. General information

NPI: 1154070886
Provider Name (Legal Business Name): DANIEL TUAN THIEN THIEU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 E CHAPMAN AVE STE 305
ORANGE CA
92869-3204
US

IV. Provider business mailing address

2501 E CHAPMAN AVE
ORANGE CA
92869-3204
US

V. Phone/Fax

Practice location:
  • Phone: 714-628-3230
  • Fax: 714-633-1815
Mailing address:
  • Phone: 714-480-2440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA190145
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: