| Doctor Name: | MICHELLE THUSINH TRAN |
| NPI Number: | 1114310372 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 95002067 |
| Business Practice Address: | 6261 Stanton Ave Buena Park, CA - 906212436 |
| Business Phone Number: | 7147394325 |
| Business Fax Number: | |
| Mailing Address: | 6261 Stanton Ave, BUENA PARK |
| State: | CA |
| Postal Code: | 906212436 |
| Phone Number: | 7147394325 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2015 |
| NPI Last Update Date: | 10/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 95002067 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |