Provider Demographics
NPI:1619296480
Name:TRAN, JAMES HAI (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HAI
Last Name:TRAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:HAI
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:23876 ALISO CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-3907
Mailing Address - Country:US
Mailing Address - Phone:714-251-8718
Mailing Address - Fax:
Practice Address - Street 1:23876 ALISO CREEK RD
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-3907
Practice Address - Country:US
Practice Address - Phone:480-384-0572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58860122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist