Healthcare Provider Details

I. General information

NPI: 1013267764
Provider Name (Legal Business Name): THANH-THUY THI TRAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2012
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 S HARBOR BLVD
SANTA ANA CA
92704-7933
US

IV. Provider business mailing address

3401 S HARBOR BLVD
SANTA ANA CA
92704-7933
US

V. Phone/Fax

Practice location:
  • Phone: 714-830-6551
  • Fax: 714-830-6518
Mailing address:
  • Phone: 714-830-6551
  • Fax: 714-830-6518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number45458
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: