Individual
HIEU TRONG TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A75688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A756880
—
CA
01
—
00A75688O 159
CALOPTIMA
—
01
—
053304CH63762
TRAILBLAZER
—
01
—
P00308912
RAILROAD MEDICARE
—
Enumeration date
07/18/2005
Last updated
08/19/2008
Update your record
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