Individual
TONY LE TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
166 W COLLEGE ST STE A, COVINA, CA 91723-2072
(909) 638-2048
Mailing address
333 N ASTELL AVE, WEST COVINA, CA 91790-1802
(626) 478-8893
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024195
CA
Other
Enumeration date
01/11/2023
Last updated
03/14/2025
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