Individual
ANNIE ROSE TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11180 WARNER AVE STE 351, FOUNTAIN VALLEY, CA 92708-7516
(714) 968-6788
Mailing address
541 W COLORADO ST STE 205, GLENDALE, CA 91204-3640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52353
CA
363A00000X
Physician Assistant
PA06281
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891021606
—
CA
05
—
207611901
—
TX
Enumeration date
10/29/2009
Last updated
02/10/2025
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