Individual
THACH NGOC TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
385 E MILL ST STE 13, SAN BERNARDINO, CA 92408-1545
(909) 383-0594
(909) 381-2285
Mailing address
385 E MILL ST STE 13, SAN BERNARDINO, CA 92408-1545
(909) 383-0594
(909) 381-2285
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A41638
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A416480
—
CA
Enumeration date
12/23/2006
Last updated
04/22/2008
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