=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447593868
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DE LA PAZ MEDICAL CENTRE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/03/2013
-----------------------------------------------------
Last Update Date | 12/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 934 S EUCLID ST
-----------------------------------------------------
City | ANAHEIM
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92802
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-254-0224
-----------------------------------------------------
Fax | 714-254-0234
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 934 S EUCLID ST
-----------------------------------------------------
City | ANAHEIM
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92802-1523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-254-0224
-----------------------------------------------------
Fax | 714-254-0234
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | THAI GIA DIEU TRAN
-----------------------------------------------------
Credential | PA
-----------------------------------------------------
Telephone | 714-254-0224
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | G77372
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------