MEDICARE: DR. NINI C. TRAN D.D.S., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	63306	CA

General Provider Information

NPI Number	:	1194138222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NINI C. TRAN D.D.S., PH.D.

Provider Business Mailing Address
First Line	:	4425 W 61ST ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043-3505
Country	:	US
Telephone Number	:	909-896-1177
Fax Number	:

Provider Business Practice Location Address
First Line	:	17411 CHATSWORTH ST
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-7608
Country	:	US
Telephone Number	:	818-360-2131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2014
Last Update Date	:	10/16/2022

Similar Medicare Providers

1700948528 — GREGORY YIN SUE D.D.S.
Practice Location Address:

501 DEEP VALLEY DR STE 201
ROLLING HILLS ESTATES, CA
90274-7608

Practice Phone: 310-377-5544
Practice Fax:

1689893893 — SAN FERNANDO VALLEY ASSOCIATION FOR THE RETARDED
Practice Location Address:

15713 PARTHENIA ST APT B
NORTH HILLS, CA
91343-7608

Practice Phone: 818-894-9301
Practice Fax: 818-894-8841

1851630677 — RAISA YEGER-ARBITMAN M.D.
Practice Location Address:

10210 66TH RD STE 1G
FOREST HILLS, NY
11375-7608

Practice Phone: 718-997-0658
Practice Fax:

1629554738 — DR. MATTHEW JOSEPH BANKOWSKI MS, PHD, D(ABMM)
Practice Location Address:

7608 HAMPTON HILLS LOOP
NEW PORT RICHEY, FL
34654-6207

Practice Phone: 612-801-2597
Practice Fax:

1164202719 — DENTALAVEINC
Practice Location Address:

7608 W 95TH ST
HICKORY HILLS, IL
60457-2203

Practice Phone: 708-737-5459
Practice Fax:

1205684503 — LAUREN KAI
Practice Location Address:

501 DEEP VALLEY DR STE 200
ROLLING HILLS ESTATES, CA
90274-7608

Practice Phone: 310-377-0710
Practice Fax:

Directions to “ DR. NINI C. TRAN D.D.S., PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.