Provider Demographics
NPI:1467476614
Name:TRAN, THUYHAN THI (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:THUYHAN
Middle Name:THI
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:HAN
Other - Middle Name:THI
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:18081 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1304
Mailing Address - Country:US
Mailing Address - Phone:714-841-7293
Mailing Address - Fax:714-841-7357
Practice Address - Street 1:18081 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1304
Practice Address - Country:US
Practice Address - Phone:714-841-7293
Practice Address - Fax:714-841-7357
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90056207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I25770Medicare UPIN