Healthcare Provider Details

I. General information

NPI: 1609069731
Provider Name (Legal Business Name): HOA TRUONG DMD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27131 ALISO CREEK RD STE 120
ALISO VIEJO CA
92656-3361
US

IV. Provider business mailing address

27131 ALISO CREEK RD STE 120
ALISO VIEJO CA
92656-3361
US

V. Phone/Fax

Practice location:
  • Phone: 949-362-3668
  • Fax: 949-362-4683
Mailing address:
  • Phone: 949-362-3668
  • Fax: 949-362-4683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. HOA VU TRUONG
Title or Position: DMD, OWNER
Credential: DMD
Phone: 949-362-3668