Individual
TRUONG DANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
1421 HERMOSA DR, CORONA, CA 92879-1111
(951) 333-1208
Mailing address
1421 HERMOSA DR, CORONA, CA 92879-1111
(951) 333-1208
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09061982
—
CA
Enumeration date
01/19/2020
Last updated
05/11/2026
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