Active NPI
Trung L Tran DDS Inc
- Dentist
- Lake Forest, CA
National Provider Identifier
1487181459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 51113
- Legal business name
- TRUNG L TRAN DDS INC
- Practice address
- 22611 Lake Forest Dr Ste C5
Lake Forest, CA 92630-1700 - Phone
- (818) 317-7902
- NPI assigned
- May 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tien Thuy Ngo, DMD
- Title
- Secretary
- Phone
- (818) 317-7902
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 51113 | CA | Primary |
Addresses
Primary practice location
22611 Lake Forest Dr Ste C5
Lake Forest, CA 92630-1700
Mailing address
15510 Bonsai Way
Tustin, CA 92782-1904
Phone (818) 317-7902
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1495324800000",
"number": "1487181459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15510 BONSAI WAY",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821904",
"telephone_number": "818-317-7902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22611 LAKE FOREST DR STE C5",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301700",
"telephone_number": "818-317-7902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUNG L TRAN DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-21",
"last_updated": "2017-05-21",
"status": "A",
"authorized_official_last_name": "NGO",
"authorized_official_first_name": "TIEN",
"authorized_official_middle_name": "THUY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "818-317-7902",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "51113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.