MEDICARE: HOANG TRAN

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1871223016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOANG TRAN

Provider Business Mailing Address
First Line	:	13362 CHESTNUT ST
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-2606
Country	:	US
Telephone Number	:	714-260-3350
Fax Number	:

Provider Business Practice Location Address
First Line	:	12425 LEWIS ST STE 101
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92840-4654
Country	:	US
Telephone Number	:	714-260-3350
Fax Number	:

Authorized Official
Title or Position	:	SPEECH THERAPIST
Name	:	MR. HOANG NGOC TRAN
Credential	:	MS
Telephone Number	:	714-260-3350

Provider Enumeration Date	:	06/11/2022
Last Update Date	:	10/09/2023

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Directions to “HOANG TRAN ” Practice Location

Language	Start Address	Practice Location

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