Individual
JONATHAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
714 TIVERTON AVE, LOS ANGELES, CA 90095-3720
(408) 416-7437
Mailing address
714 TIVERTON AVE, LOS ANGELES, CA 90095-8361
(310) 794-2198
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
111768
CA
Other
Enumeration date
03/15/2023
Last updated
08/26/2025
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