Provider Demographics
NPI:1639143894
Name:TRINH, ANH (OD)
Entity type:Individual
Prefix:DR
First Name:ANH
Middle Name:
Last Name:TRINH
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 1:8192 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-2082
Mailing Address - Country:US
Mailing Address - Phone:714-995-4710
Mailing Address - Fax:
Practice Address - Street 1:10305 1/2 LAKEWOOD BLVD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-2743
Practice Address - Country:US
Practice Address - Phone:562-862-5005
Practice Address - Fax:562-622-2592
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11764T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0117640Medicaid
CAEP022ZMedicare PIN