Individual
PHONG THE TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14740 BUSHARD ST APT C, WESTMINSTER, CA 92683-5683
(714) 280-2358
Mailing address
14740 BUSHARD ST APT C, WESTMINSTER, CA 92683-5683
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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