Organization
ANDY N TRUONG M.D, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY NGOC TRUONG M.D (CEO/PHYSICIAN)
(714) 323-6446
Entity
Organization
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
—
ZZZ09476Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
03/29/2006
Last updated
08/22/2020
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