Provider Demographics
NPI:1376091264
Name:TRAN, HELEN PHAN (OD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:PHAN
Last Name:TRAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:ANH
Other - Last Name:PHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2727 W CAMDEN PL
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-4549
Mailing Address - Country:US
Mailing Address - Phone:949-777-5199
Mailing Address - Fax:
Practice Address - Street 1:2727 W CAMDEN PL
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-4549
Practice Address - Country:US
Practice Address - Phone:949-777-5199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33583152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist