MEDICARE: DR. DAN QUOC TRAN D.D.S.

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	1223E0200X	Endodontics	63954	CA

General Provider Information

NPI Number	:	1831538115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAN QUOC TRAN D.D.S.

Provider Business Mailing Address
First Line	:	28221 CROWN VALLEY PKWY
Second Line	:	STE E
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-1427
Country	:	US
Telephone Number	:	949-331-7657
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 TARA HILLS DR STE 206
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-2526
Country	:	US
Telephone Number	:	510-724-4900
Fax Number	:

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

Provider Enumeration Date	:	06/19/2013
Last Update Date	:	01/19/2026

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