Healthcare Provider Details

I. General information

NPI: 1689762817
Provider Name (Legal Business Name): DUC TRAN DO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9091 EDINGER AVE STE A
WESTMINSTER CA
92683-7585
US

IV. Provider business mailing address

9091 EDINGER AVE STE A
WESTMINSTER CA
92683-7585
US

V. Phone/Fax

Practice location:
  • Phone: 714-531-4616
  • Fax: 714-531-1404
Mailing address:
  • Phone: 714-531-4616
  • Fax: 714-531-1404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number20A6642
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A6642
License Number StateCA

VIII. Authorized Official

Name: DR. DUC NGOC TRAN
Title or Position: PRESIDENT
Credential: D.O.
Phone: 714-531-4646