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General NPI Number Information
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NPI Number | 1881262996
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Entity Type | Individual
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Provider Name | AUSTIN TRAN OD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 9710 WINTER GARDENS BLVD STE A
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City | LAKESIDE
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State | CA
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Zip | 92040-3866
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Country | US
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Telephone | 619-443-1075
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Fax | 619-443-9382
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Provider Business Mailing Address
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Address Line | 13322 RAMONA DR
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City | GARDEN GROVE
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State | CA
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Zip | 92843-2643
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Country | US
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Telephone | 619-443-1075
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Fax | 619-443-9382
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 34881
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License Number State | CA
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