Michael Truong, Md | |
10900 Warner Ave Ste 101b Fountain Valley CA 92708-3846 | |
(714) 263-0557 | |
(213) 986-9953 |
Full Name | Michael Truong, Md |
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Speciality | General Practice |
Location | 10900 Warner Ave Ste 101b, Fountain Valley, California |
Authorized Official Name and Position | Michael Truong (CEO) |
Authorized Official Contact | 3109122305 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michael Truong, Md 340 S Lemon Ave # 8030 Walnut CA 91789-2706 Ph: (310) 912-2350 | Michael Truong, Md 10900 Warner Ave Ste 101b Fountain Valley CA 92708-3846 Ph: (714) 263-0557 |
NPI Number | 1396376745 |
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Provider Enumeration Date | 02/03/2020 |
Last Update Date | 02/03/2020 |
Medicare PECOS PAC ID | 8820426877 |
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Medicare Enrollment ID | O20200325001609 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396376745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
Provider Name | Michael N Truong |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1376834143 PECOS PAC ID: 3173837713 Enrollment ID: I20150727002683 |
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