Organization
SOUTHERN HEART CLINIC, INC.
Active
Organization
SOUTHERN HEART CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL TIEN TRUONG MD (PRESIDENT/PHYSICIAN)
(714) 432-1212
Entity
Organization
Contact information
Practice address
11100 WARNER AVE STE 152, FOUNTAIN VALLEY, CA 92708-7510
(714) 432-1212
(714) 432-1213
Mailing address
11100 WARNER AVE STE 152, FOUNTAIN VALLEY, CA 92708-7510
(714) 432-1212
(714) 432-1213
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A053527
CA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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