MEDICARE: NORMAN TRUONG

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1992325203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORMAN TRUONG

Provider Business Mailing Address
First Line	:	3235 E WHITEBIRCH DR
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91791-3038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3235 E WHITEBIRCH DR
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91791-3038
Country	:	US
Telephone Number	:	510-459-8421
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NORMAN TRUONG
Credential	:	PT, DPT, CSCS
Telephone Number	:	510-459-8421

Provider Enumeration Date	:	04/16/2020
Last Update Date	:	09/05/2025

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