MEDICARE: MS. KIMBERLY KAY TRUONG M.D., M.P.H.

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	A138555	CA

General Provider Information

NPI Number	:	1689092371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIMBERLY KAY TRUONG M.D., M.P.H.

Provider Business Mailing Address
First Line	:	2443 FILLMORE ST # 38015799
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-1814
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2443 FILLMORE ST # 38015799
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-1814
Country	:	US
Telephone Number	:	805-635-8281
Fax Number	:

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

Provider Enumeration Date	:	03/31/2014
Last Update Date	:	11/14/2025

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