Healthcare Provider Details

I. General information

NPI: 1679645204
Provider Name (Legal Business Name): TRIEU T TRAN, MD. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 10/05/2022
Certification Date: 10/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15191 BEACH BLVD
WESTMINSTER CA
92683-6203
US

IV. Provider business mailing address

PO BOX 457
SAN DIMAS CA
91773-0457
US

V. Phone/Fax

Practice location:
  • Phone: 714-893-6008
  • Fax: 714-893-6168
Mailing address:
  • Phone: 909-971-9334
  • Fax: 909-971-9654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. TRIEU T TRAN
Title or Position: ORTHOPEDIC
Credential: M.D.
Phone: 714-893-6008