Provider Demographics
NPI:1912553983
Name:VU D TRAN MD INC
Entity Type:Organization
Organization Name:VU D TRAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VU
Authorized Official - Middle Name:DINH
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-617-4310
Mailing Address - Street 1:5907 CERRITOS AVE UNIT 2325
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-8716
Mailing Address - Country:US
Mailing Address - Phone:714-617-4310
Mailing Address - Fax:714-617-4393
Practice Address - Street 1:17220 NEWHOPE ST STE 125-126
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4272
Practice Address - Country:US
Practice Address - Phone:714-617-4310
Practice Address - Fax:714-617-4393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA138753OtherMEDICAL LICENSE