Provider Demographics
NPI:1427435247
Name:HAN, SYLVIA MINH (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:MINH
Last Name:HAN
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:MINH
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICIAN ASSISTANT
Mailing Address - Street 1:1421 S HIGHLAND AVE
Mailing Address - Street 2:APT M
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-3381
Mailing Address - Country:US
Mailing Address - Phone:603-391-7062
Mailing Address - Fax:
Practice Address - Street 1:1311 S ANAHEIM BLVD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-6202
Practice Address - Country:US
Practice Address - Phone:714-635-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52434363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant