MEDICARE: DR. HARRY TRIEU MD

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1518616457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARRY TRIEU MD

Provider Business Mailing Address
First Line	:	3800 W CHAPMAN AVE STE 6400
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-1641
Country	:	US
Telephone Number	:	714-456-6745
Fax Number	:	714-456-7753

Provider Business Practice Location Address
First Line	:	3800 W CHAPMAN AVE STE 6400
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-1641
Country	:	US
Telephone Number	:	714-456-6745
Fax Number	:	714-456-7753

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2022
Last Update Date	:	07/06/2025

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