Provider Demographics
NPI:1841388303
Name:TRAN, SANG HUU (OD)
Entity Type:Individual
Prefix:DR
First Name:SANG
Middle Name:HUU
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:6930 65TH ST
Mailing Address - Street 2:SUITE #113
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-2343
Mailing Address - Country:US
Mailing Address - Phone:916-395-7571
Mailing Address - Fax:916-395-7195
Practice Address - Street 1:6930 65TH ST
Practice Address - Street 2:SUITE #113
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2343
Practice Address - Country:US
Practice Address - Phone:916-395-7571
Practice Address - Fax:916-395-7195
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2016-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CACA11224T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0112240Medicaid
CAU86165Medicare UPIN