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Individual

SAM VAN TRUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
23832 ROCKFIELD BLVD STE 220, LAKE FOREST, CA 92630-2876
(949) 770-8115
Mailing address
23832 ROCKFIELD BLVD STE 220, LAKE FOREST, CA 92630-2876
(949) 770-8115
(888) 714-9491

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A113368
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A113368
CA

Other

Enumeration date
04/19/2010
Last updated
09/26/2023
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