Healthcare Provider Details

I. General information

NPI: 1467336438
Provider Name (Legal Business Name): WYNN MEDICAL CENTER GASTROENTEROLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9120 VALLEY BLVD
ROSEMEAD CA
91770-1920
US

IV. Provider business mailing address

9120 VALLEY BLVD
ROSEMEAD CA
91770-1920
US

V. Phone/Fax

Practice location:
  • Phone: 626-316-8287
  • Fax: 626-573-0641
Mailing address:
  • Phone: 626-316-8287
  • Fax: 626-573-0641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HUYNH W TRAN
Title or Position: PRESIDENT
Credential: MD, FACP
Phone: 626-316-8287