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NPI Code Detail

MEDICARE: MINH TRUONG

MEDICARE: MINH 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
1183500000XPharmacist67523CA

General Provider Information

NPI Number : 1073973996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINH TRUONG
Provider Business Mailing Address
First Line : 4615 FRAZEE RD
Second Line :
City : OCEANSIDE
State : CA
Zip : 92057-6100
Country : US
Telephone Number : 760-433-9597
Fax Number :
Provider Business Practice Location Address
First Line : 4615 FRAZEE RD
Second Line :
City : OCEANSIDE
State : CA
Zip : 92057-6100
Country : US
Telephone Number : 760-433-9597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2016
Last Update Date : 04/26/2025

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Directions to “ MINH TRUONG ” Practice Location

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