| Loan T. Truong, M.d., Inc. | |
|
855 E Anaheim St Long Beach CA 90813-3550 | |
| (562) 591-0840 | |
| (562) 591-4191 |
| Full Name | Loan T. Truong, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 855 E Anaheim St, Long Beach, California |
| Authorized Official Name and Position | Loan Thanh Truong (PRESIDENT) |
| Authorized Official Contact | 5622536208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loan T. Truong, M.d., Inc. 855 E Anaheim St Long Beach CA 90813-3550 Ph: (562) 591-0840 | Loan T. Truong, M.d., Inc. 855 E Anaheim St Long Beach CA 90813-3550 Ph: (562) 591-0840 |
| NPI Number | 1740649672 |
|---|---|
| Provider Enumeration Date | 02/20/2016 |
| Last Update Date | 09/23/2016 |
| Medicare PECOS PAC ID | 8224319280 |
|---|---|
| Medicare Enrollment ID | O20170105001168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740649672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 139072 (California) | Primary |
| Provider Name | Dien Van Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902918667 PECOS PAC ID: 6901092691 Enrollment ID: I20101119000817 |
| Provider Name | Loan Thanh Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619317450 PECOS PAC ID: 9133400195 Enrollment ID: I20170111001114 |
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