Individual
DR. VINCENT VINH TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11370 ANDERSON ST # B100, LOMA LINDA, CA 92354-3450
(909) 558-2880
Mailing address
11370 ANDERSON ST # B100, LOMA LINDA, CA 92354-3450
(909) 558-2880
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
43006
KY
2084V0102X
Vascular Neurology Physician
43006
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43006
KY BD MEDICAL LICENSURE
KY
05
—
7100075480
—
KY
Enumeration date
09/08/2008
Last updated
10/24/2018
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