Basic Information
| Provider Information | |||||||||
| NPI: | 1528179660 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TRAN | ||||||||
| FirstName: | TRIEU | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11180 WARNER AVE | ||||||||
| Address2: | STE 455 | ||||||||
| City: | FOUNTAIN VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927087505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7148936008 | ||||||||
| FaxNumber: | 7148936168 | ||||||||
| Practice Location | |||||||||
| Address1: | 11180 WARNER AVE | ||||||||
| Address2: | STE 455 | ||||||||
| City: | FOUNTAIN VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927087505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7148936008 | ||||||||
| FaxNumber: | 7148936168 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 05/07/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | A63498 | CA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.