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NPI Code Detail

MEDICARE: MR. QUY MINH TRUONG PMHNP-BC

MEDICARE:  MR. QUY MINH TRUONG  PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerNP95039628CA

General Provider Information

NPI Number : 1497688618
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. QUY MINH TRUONG PMHNP-BC
Provider Business Mailing Address
First Line : 5353 G ST
Second Line :
City : CHINO
State : CA
Zip : 91710-5250
Country : US
Telephone Number : 909-590-3700
Fax Number :
Provider Business Practice Location Address
First Line : 5353 G ST
Second Line :
City : CHINO
State : CA
Zip : 91710-5250
Country : US
Telephone Number : 909-590-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2026
Last Update Date : 06/06/2026

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