Individual
TIMOTHY TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4800
Mailing address
2308 ROGERS DR, ALHAMBRA, CA 91803-4323
(626) 377-5068
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
13258987-1205
UT
207W00000X
Ophthalmology Physician
Primary
A182560
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2019
Last updated
03/09/2024
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