MEDICARE: DR. ANH N TRAN DDS

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	122300000X	Dentist	54755	CA

General Provider Information

NPI Number	:	1427253202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANH N TRAN DDS

Provider Business Mailing Address
First Line	:	6965 BROADWAY
Second Line	:
City	:	LEMON GROVE
State	:	CA
Zip	:	91945-1405
Country	:	US
Telephone Number	:	619-589-0777
Fax Number	:	619-589-0722

Provider Business Practice Location Address
First Line	:	6965 BROADWAY
Second Line	:
City	:	LEMON GROVE
State	:	CA
Zip	:	91945-1405
Country	:	US
Telephone Number	:	619-589-0777
Fax Number	:	619-589-0722

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

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	01/19/2026

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