Truong, Thach Ngoc

Truong, Thach Ngoc is an individual health care provider with primary practice located at 385 E Mill St Ste 13 , San Bernardino CA 92408-1545. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Truong, Thach Ngoc can be contacted via phone (909) 383-0594.

Contact Information

Primary practice address
385 E Mill St Ste 13 San Bernardino CA 92408-1545
Phone: (909) 383-0594
Fax: (909) 381-2285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A41638 California

Profile Details

NPI number 1447315106
LBN Legal business name Truong, Thach Ngoc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2006
Last updated Apr 22nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447315106 NPPES
California MEDICAID 00A416480

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