Healthcare Provider Details

I. General information

NPI: 1093936403
Provider Name (Legal Business Name): LE, NGUYEN, TRAM, NGUYEN & TRAN MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15355 BROOKHURST ST SUITE 102
WESTMINSTER CA
92683-7077
US

IV. Provider business mailing address

15355 BROOKHURST ST STE 102
WESTMINSTER CA
92683-7071
US

V. Phone/Fax

Practice location:
  • Phone: 714-531-2220
  • Fax: 714-531-1164
Mailing address:
  • Phone: 714-531-2220
  • Fax: 714-531-1164

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

VIII. Authorized Official

Name: LE THUY THI TRAN
Title or Position: CEO
Credential:
Phone: 714-775-3050