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NPI Code Detail

MEDICARE: TRUONG & DUONG MEDICAL CORP

MEDICARE: TRUONG & DUONG MEDICAL CORP
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
1213EP1101XPrimary Podiatric Medicine PodiatristE4237CA

General Provider Information

NPI Number : 1811050859
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUONG & DUONG MEDICAL CORP
Provider Business Mailing Address
First Line : 13071 BROOKHURST ST STE 150
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92843-1024
Country : US
Telephone Number : 714-534-2636
Fax Number : 714-534-2630
Provider Business Practice Location Address
First Line : 3712 WHITTIER BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90023-1733
Country : US
Telephone Number : 323-268-8347
Fax Number : 323-268-8368
Authorized Official
Title or Position : DIRECTOR
Name : KHANH DUONG
Credential : D.P.M.
Telephone Number : 714-697-9939
Provider Enumeration Date : 12/19/2006
Last Update Date : 08/01/2007

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Directions to “TRUONG & DUONG MEDICAL CORP ” Practice Location

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