| Doctor Name: | THACH NGOC TRUONG |
| NPI Number: | 1447315106 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A41638 |
| Business Practice Address: | 385 E Mill St Ste 13 San Bernardino, CA - 924081545 |
| Business Phone Number: | 9093830594 |
| Business Fax Number: | 9093812285 |
| Mailing Address: | 385 E Mill St Ste 13, SAN BERNARDINO |
| State: | CA |
| Postal Code: | 924081545 |
| Phone Number: | 9093830594 |
| Fax Number: | 9093812285 |
| NPI Enumeration Date: | 12/23/2006 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A41638 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |