Healthcare Provider Details

I. General information

NPI: 1417597600
Provider Name (Legal Business Name): WINNIE NHU-QUYNH TRINH TRAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 01/15/2020
Certification Date: 01/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7955 WESTMINSTER BLVD
WESTMINSTER CA
92683
US

IV. Provider business mailing address

2750 W MADISON CIR
ANAHEIM CA
92801
US

V. Phone/Fax

Practice location:
  • Phone: 714-379-3221
  • Fax:
Mailing address:
  • Phone: 714-624-2482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95013682
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: