Healthcare Provider Details

I. General information

NPI: 1306261631
Provider Name (Legal Business Name): YVONNE NHU TRUONG PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2014
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

674 LAS POSAS RD
CAMARILLO CA
93010-5716
US

IV. Provider business mailing address

674 LAS POSAS RD
CAMARILLO CA
93010-5716
US

V. Phone/Fax

Practice location:
  • Phone: 805-445-1431
  • Fax: 805-482-7804
Mailing address:
  • Phone: 805-445-1431
  • Fax: 805-482-7804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHY49664
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: