Kiet Truong Medical Corporation | |
7700 Folsom Blvd Sacramento CA 95826-2608 | |
(510) 703-8360 | |
Not Available |
Full Name | Kiet Truong Medical Corporation |
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Speciality | Psychiatry & Neurology |
Location | 7700 Folsom Blvd, Sacramento, California |
Authorized Official Name and Position | Kiet Tuan Vinh Truong (PRESIDENT) |
Authorized Official Contact | 5107038360 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kiet Truong Medical Corporation Po Box 980551 West Sacramento CA 95798-0551 Ph: (510) 703-8360 | Kiet Truong Medical Corporation 7700 Folsom Blvd Sacramento CA 95826-2608 Ph: (510) 703-8360 |
NPI Number | 1134411705 |
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Provider Enumeration Date | 05/13/2011 |
Last Update Date | 03/27/2012 |
Medicare PECOS PAC ID | 4183892060 |
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Medicare Enrollment ID | O20110720000191 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134411705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A101895 (California) | Primary |
Provider Name | Kiet Truong |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912198565 PECOS PAC ID: 5991973877 Enrollment ID: I20110720000215 |
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