Provider Demographics
NPI:1245438555
Name:HA, TRANG (OD)
Entity type:Individual
Prefix:DR
First Name:TRANG
Middle Name:
Last Name:HA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10250 SANTA MONICA BLVD STE 2550
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-6598
Mailing Address - Country:US
Mailing Address - Phone:424-249-1957
Mailing Address - Fax:323-406-9952
Practice Address - Street 1:10250 SANTA MONICA BLVD STE 2550
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-6598
Practice Address - Country:US
Practice Address - Phone:424-249-1957
Practice Address - Fax:323-406-9952
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-07
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3802152W00000X
CA11998152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist