Individual
DR. ANDY NGOC TRUONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16027 BROOKHURST ST, G-135, FOUNTAIN VALLEY, CA 92708-1551
(714) 323-6446
(714) 844-9494
Mailing address
16027 BROOKHURST ST, G-135, FOUNTAIN VALLEY, CA 92708-1551
(714) 323-6446
(714) 844-9494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A66251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A662510
CALOPTIMA ID
CA
05
—
00A662510
—
CA
01
—
A66251
CALIFORNIA MED. LICENSE
CA
Enumeration date
03/24/2006
Last updated
07/08/2007
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