Healthcare Provider Details

I. General information

NPI: 1992614218
Provider Name (Legal Business Name): DANNY TRUONG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17011 BEACH BLVD STE 900
HUNTINGTON BEACH CA
92647-5998
US

IV. Provider business mailing address

17011 BEACH BLVD STE 900
HUNTINGTON BEACH CA
92647-5998
US

V. Phone/Fax

Practice location:
  • Phone: 562-248-6377
  • Fax: 833-203-3050
Mailing address:
  • Phone: 562-248-6377
  • Fax: 833-203-3050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: