NPI Code Detail JSON Logo

1790060408 NPI number — MINH-HANH T TRUONG

NPI Number: 1790060408
Health Care Provider/Practitioner: MINH-HANH T TRUONG

Information about “1790060408” NPI (MINH-HANH T TRUONG) exists in 1790060408 in HTML format HTML  |  1790060408 in plain Text format TXT  |  1790060408 in PDF (Portable Document Format) PDF  |  1790060408 in an XML format XML  formats.

NPI Number : 1790060408 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790060408",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TRUONG",
    "FirstName": "MINH-HANH",
    "MiddleName": "T",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1300 WEST YOSEMITE AVENUE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MADERA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93637",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "559-673-8071",
    "MailingAddressFaxNumber": "559-673-8174",
    "FirstLinePracticeLocationAddress": "1300 WEST YOSEMITE AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MADERA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93637",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "559-673-8071",
    "PracticeLocationAddressFaxNumber": "559-673-8174",
    "EnumerationDate": "10/13/2011",
    "LastUpdateDate": "10/13/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "55148",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "41614",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.