Provider Demographics
NPI:1073914800
Name:HANH H TRAN OD, INC
Entity Type:Organization
Organization Name:HANH H TRAN OD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HANH
Authorized Official - Middle Name:HONG
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:323-564-2872
Mailing Address - Street 1:943 NEWTON LN
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-7504
Mailing Address - Country:US
Mailing Address - Phone:323-564-2872
Mailing Address - Fax:323-564-0016
Practice Address - Street 1:4651 FIRESTONE BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-3446
Practice Address - Country:US
Practice Address - Phone:323-564-2872
Practice Address - Fax:323-564-0016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10598T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty