Healthcare Provider Details

I. General information

NPI: 1588589667
Provider Name (Legal Business Name): THIEN TRAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 S BRISTOL ST STE 202
SANTA ANA CA
92704-8100
US

IV. Provider business mailing address

3929 S BRISTOL ST STE 202
SANTA ANA CA
92704-8100
US

V. Phone/Fax

Practice location:
  • Phone: 714-549-4343
  • Fax:
Mailing address:
  • Phone: 714-549-4343
  • Fax: 714-549-7277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. THIEN T TRAN
Title or Position: OWNER
Credential: OD
Phone: 805-797-2865