| Tu N Truong M D A Professional Medical Corporation | |
|
5069 El Cajon Blvd San Diego CA 92115-3348 | |
| (619) 583-8705 | |
| (619) 583-8701 |
| Full Name | Tu N Truong M D A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 5069 El Cajon Blvd, San Diego, California |
| Authorized Official Name and Position | Lieu Nguyen (OFFICE MANAGER) |
| Authorized Official Contact | 6195363873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tu N Truong M D A Professional Medical Corporation 5069 El Cajon Blvd San Diego CA 92115-3348 Ph: (619) 583-8705 | Tu N Truong M D A Professional Medical Corporation 5069 El Cajon Blvd San Diego CA 92115-3348 Ph: (619) 583-8705 |
| NPI Number | 1568537132 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 5193882256 |
|---|---|
| Medicare Enrollment ID | O20090318000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568537132 | NPI | - | NPPES |
| 654 | Other | CA | COMM HEALTH GRP |
| 00A507561 | Medicaid | CA | |
| 4575637 | Other | CA | AETNA |
| 310074 | Other | CA | SD PHYSICIAN MED GRP |
| 110244506 | Other | CA | MEDICARE RAILROAD |
| 00A50760 | Other | CA | BLUE SHIELD CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A50756 (California) | Primary |
| Provider Name | Tu N Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194794263 PECOS PAC ID: 5193776391 Enrollment ID: I20050204000435 |
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