Provider Demographics
NPI:1407009624
Name:TRAN, DANIEL HAU (PA-C, MPAS)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:HAU
Last Name:TRAN
Suffix:
Gender:M
Credentials:PA-C, MPAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5475 WALNUT AVE.
Mailing Address - Street 2:MY FAMILY MEDICAL GROUP
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-2699
Mailing Address - Country:US
Mailing Address - Phone:909-591-6446
Mailing Address - Fax:
Practice Address - Street 1:5475 WALNUT AVE.
Practice Address - Street 2:MY FAMILY MEDICAL GROUP
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2699
Practice Address - Country:US
Practice Address - Phone:909-591-6446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA20034363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical