Individual
ANGELINA MARISSA GONZALEZ-TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7734 N 59TH AVE, GLENDALE, AZ 85301-7816
(623) 931-2444
Mailing address
7734 N 59TH AVE, GLENDALE, AZ 85301-7816
(623) 931-2444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
46847
AZ
208000000X
Pediatrics Physician
Primary
ME108093
FL
208000000X
Pediatrics Physician
TRN11026
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002747400
—
FL
05
—
003100082A
—
GA
01
—
786657
AHCCCS
AZ
Enumeration date
05/30/2007
Last updated
10/16/2013
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