Healthcare Provider Details

I. General information

NPI: 1285451450
Provider Name (Legal Business Name): WYNN MEDICAL CENTER INTERNAL MEDICINE WESTMINSTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2024
Last Update Date: 07/27/2025
Certification Date: 07/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9024 BOLSA AVE
WESTMINSTER CA
92683-5531
US

IV. Provider business mailing address

9024 BOLSA AVE
WESTMINSTER CA
92683-5531
US

V. Phone/Fax

Practice location:
  • Phone: 714-899-2911
  • Fax: 714-899-2150
Mailing address:
  • Phone: 714-899-2911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HUYNH W TRAN
Title or Position: PRESIDENT/CEO
Credential: MD, FACP
Phone: 714-899-2911