Healthcare Provider Details

I. General information

NPI: 1972720456
Provider Name (Legal Business Name): HOANG MINH TRAN O.M.D., L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 12/28/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19000 HAWTHORNE BLVD SUITE 130
TORRANCE CA
90503-1517
US

IV. Provider business mailing address

19000 HAWTHORNE BLVD SUITE 130
TORRANCE CA
90503-1517
US

V. Phone/Fax

Practice location:
  • Phone: 310-370-2800
  • Fax: 310-370-2887
Mailing address:
  • Phone: 310-370-2800
  • Fax: 310-370-2887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC3689
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: