# MICHAEL TRUONG, MD

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

## Provider details

- **NPI number:** 1396376745
- **Authorized official:** DR. MICHAEL TRUONG MD (CEO)
- **Authorized official phone:** (310) 912-2305

## Contact information

- **Practice address:** 10900 WARNER AVE STE 101B, FOUNTAIN VALLEY, CA 92708-3846
- **Practice address phone:** (714) 263-0557
- **Practice address fax:** (213) 986-9953
- **Mailing address:** 340 S LEMON AVE \# 8030, WALNUT, CA 91789-2706
- **Mailing address phone:** (310) 912-2350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 02/03/2020
- **Last updated:** 02/03/2020