Individual
MAI KIM DAN TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
17215 STUDEBAKER RD STE 108, CERRITOS, CA 90703-2521
(310) 750-4511
Mailing address
2101 PERRY AVE, REDONDO BEACH, CA 90278-1826
(714) 588-9860
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4424
CA
Other
Enumeration date
07/18/2006
Last updated
08/24/2023
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