Organization
MIYOCO MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIEP TRUONG MD (OWNER)
(714) 546-6575
Entity
Organization
Contact information
Practice address
15975 HARBOR BLVD, FOUNTAIN VALLEY, CA 92708-1303
(714) 546-6575
(714) 551-9411
Mailing address
15975 HARBOR BLVD, FOUNTAIN VALLEY, CA 92708-1303
(714) 546-6575
(714) 551-9411
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
A45852
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578520151
—
CA
Enumeration date
12/07/2010
Last updated
09/09/2013
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