Provider Demographics
NPI:1598064834
Name:TRANG, HUONG QUOC (OD)
Entity Type:Individual
Prefix:DR
First Name:HUONG
Middle Name:QUOC
Last Name:TRANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:8792 DEWEY DR
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-1612
Mailing Address - Country:US
Mailing Address - Phone:714-210-3405
Mailing Address - Fax:
Practice Address - Street 1:9972 BOLSA AVE STE 105
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6069
Practice Address - Country:US
Practice Address - Phone:714-210-3405
Practice Address - Fax:714-455-1556
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-25
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14011 TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFK592AMedicare PIN