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Organization
THAN V. TRUONG
Active
Organization
THAN V. TRUONG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAN VAN TRUONG DPM (PODIATRIST)
(310) 675-0900
Entity
Organization
Contact information
Practice address
13624 HAWTHORNE BLVD., SUITE 206, HAWTHORNE, CA 90250
(310) 675-0900
Mailing address
17810 OSAGE AVE, TORRANCE, CA 90504
(310) 994-9783
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
E4636
CA
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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