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NPI Code Detail

MEDICARE: SHAWNY TRUONG

MEDICARE: SHAWNY 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
1101YA0400XAddiction (Substance Use Disorder) Counselor14024-RACCA
2171M00000XCase Manager/Care Coordinator14024-RACCA

General Provider Information

NPI Number : 1568076495
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNY TRUONG
Provider Business Mailing Address
First Line : 44 S MENTOR AVE
Second Line :
City : PASADENA
State : CA
Zip : 91106-2902
Country : US
Telephone Number : 626-795-9127
Fax Number :
Provider Business Practice Location Address
First Line : 44 S MENTOR AVE
Second Line :
City : PASADENA
State : CA
Zip : 91106-2902
Country : US
Telephone Number : 626-795-9127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2020
Last Update Date : 01/29/2026

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Directions to “ SHAWNY TRUONG ” Practice Location

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