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Organization
TU N TRUONG M D A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
TU N TRUONG M D A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIEU NGUYEN (OFFICE MANAGER)
(619) 536-3873
Entity
Organization
Contact information
Practice address
5069 EL CAJON BLVD, SAN DIEGO, CA 92115-3348
(619) 583-8705
(619) 583-8701
Mailing address
5069 EL CAJON BLVD, SAN DIEGO, CA 92115-3348
(619) 583-8705
(619) 583-8701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A50756
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A507561
—
CA
01
—
00A50760
BLUE SHIELD CA
CA
01
—
110244506
MEDICARE RAILROAD
CA
01
—
310074
SD PHYSICIAN MED GRP
CA
01
—
4575637
AETNA
CA
01
—
654
COMM HEALTH GRP
CA
Enumeration date
11/21/2006
Last updated
11/09/2023
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