MEDICARE: VINCE TRUONG D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	DOS1076	HI
2	207P00000X	Emergency Medicine Physician	20A 8593	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144265364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCE TRUONG D.O.

Provider Business Mailing Address
First Line	:	7834 GLENCOE AVE
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-4170
Country	:	US
Telephone Number	:	586-212-3164
Fax Number	:

Provider Business Practice Location Address
First Line	:	7834 GLENCOE AVE
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-4170
Country	:	US
Telephone Number	:	586-212-3164
Fax Number	:	310-379-4856

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	05/15/2009

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Directions to “ VINCE TRUONG D.O.” Practice Location

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