Individual
ERICSSON TRIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12456 WASHINGTON BLVD, WHITTIER, CA 90602-1005
(562) 758-6600
Mailing address
12456 WASHINGTON BLVD, WHITTIER, CA 90602-1005
(562) 758-6600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54702
CA
Other
Enumeration date
12/29/2015
Last updated
09/24/2025
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