Healthcare Provider Details

I. General information

NPI: 1629892237
Provider Name (Legal Business Name): WYNN MEDICAL CENTER PEDIATRICS-MEDICINE TORRANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3655 LOMITA BLVD STE 211
TORRANCE CA
90505-1924
US

IV. Provider business mailing address

3655 LOMITA BLVD STE 211
TORRANCE CA
90505-1924
US

V. Phone/Fax

Practice location:
  • Phone: 310-406-3818
  • Fax:
Mailing address:
  • Phone: 310-406-3818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HUYNH W TRAN
Title or Position: CEO/FOUNDER
Credential: MD
Phone: 626-573-9003