Provider Demographics
NPI:1992073415
Name:TRINH, VAN D (MD)
Entity type:Individual
Prefix:DR
First Name:VAN
Middle Name:D
Last Name:TRINH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4733 W SUNSET BLVD FL 3
Mailing Address - Street 2:ATTN: RACHEL HOLLANDER, CENTER MEDICAL EDUCATION
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6021
Mailing Address - Country:US
Mailing Address - Phone:323-783-1433
Mailing Address - Fax:866-455-3867
Practice Address - Street 1:4733 W SUNSET BLVD FL 3
Practice Address - Street 2:ATTN: RACHEL HOLLANDER, CENTER MEDICAL EDUCATION
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6021
Practice Address - Country:US
Practice Address - Phone:323-783-1433
Practice Address - Fax:866-455-3867
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1134562085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology