MEDICARE: TU N TRUONG M D A PROFESSIONAL MEDICAL CORPORATION

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	207R00000X	Internal Medicine Physician	A50756	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	110244506	OTHER	CA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	654	OTHER	CA	COMM HEALTH GRP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4575637	OTHER	CA	AETNA
4	310074	OTHER	CA	SD PHYSICIAN MED GRP
6	00A50760	OTHER	CA	BLUE SHIELD CA

General Provider Information

NPI Number	:	1568537132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TU N TRUONG M D A PROFESSIONAL MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	5069 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3348
Country	:	US
Telephone Number	:	619-583-8705
Fax Number	:	619-583-8701

Provider Business Practice Location Address
First Line	:	5069 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3348
Country	:	US
Telephone Number	:	619-583-8705
Fax Number	:	619-583-8701

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	LIEU NGUYEN
Credential	:
Telephone Number	:	619-536-3873

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	11/09/2023

Similar Medicare Providers

1700744307 — NGUYEN MEDICAL CORPORATION
Practice Location Address:

5069 EL CAJON BLVD
SAN DIEGO, CA
92115-3348

Practice Phone: 619-583-8705
Practice Fax: 619-583-8701

1194794263 — TU NGOC TRUONG M.D.
Practice Location Address:

5069 EL CAJON BLVD
SAN DIEGO, CA
92115-3348

Practice Phone: 619-583-8705
Practice Fax: 619-583-8701

1285762708 — MR. KHIET BUI RPH
Practice Location Address:

5065 EL CAJON BLVD
SAN DIEGO, CA
92115-3348

Practice Phone: 619-501-8046
Practice Fax:

1568608214 — CARE RX INC
Practice Location Address:

5065 EL CAJON BLVD
SAN DIEGO, CA
92115-3348

Practice Phone: 619-501-8046
Practice Fax: 619-501-4997

1710248208 — IMELDA HILDA DAVID DMD INC
Practice Location Address:

5059 EL CAJON BLVD
SAN DIEGO, CA
92115-3348

Practice Phone: 619-583-7720
Practice Fax: 619-583-7722

1942687942 — KHAREZA MAGNO
Practice Location Address:

5059 EL CAJON BLVD
SAN DIEGO, CA
92115-3348

Practice Phone: 619-583-7720
Practice Fax:

Directions to “TU N TRUONG M D A PROFESSIONAL MEDICAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.