# KIET TRUONG MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134411705
- **Authorized official:** DR. KIET TUAN VINH TRUONG M.D. (PRESIDENT)
- **Authorized official phone:** (510) 703-8360

## Contact information

- **Practice address:** 7700 FOLSOM BLVD, SACRAMENTO, CA 95826-2608
- **Practice address phone:** (510) 703-8360
- **Mailing address:** PO BOX 980551, WEST SACRAMENTO, CA 95798-0551
- **Mailing address phone:** (510) 703-8360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A101895 | CA | Yes |

## Other

- **Enumeration date:** 05/13/2011
- **Last updated:** 03/27/2012