Provider Demographics
NPI:1821553926
Name:AARON, THAO DUNG THI-TRAN
Entity Type:Individual
Prefix:DR
First Name:THAO
Middle Name:DUNG THI-TRAN
Last Name:AARON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21114 VIA PORTOLA
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3409
Mailing Address - Country:US
Mailing Address - Phone:714-713-8401
Mailing Address - Fax:
Practice Address - Street 1:1820 FULLERTON AVE STE 270
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-3175
Practice Address - Country:US
Practice Address - Phone:951-428-4135
Practice Address - Fax:951-339-3623
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-04
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34413111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor