Active NPI
Tin Duc Truong, AU.D
- Audiologist
- Beverly Hills, CA
National Provider Identifier
1013442631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 8641 Wilshire Blvd Ste 220
Beverly Hills, CA 90211-2920 - Phone
- (310) 954-2207
- Fax
- (855) 809-5213
- NPI assigned
- Apr 21, 2017
- Last updated
- Dec 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | NU | Primary |
Addresses
Primary practice location
8641 Wilshire Blvd Ste 220
Beverly Hills, CA 90211-2920
Mailing address
8549 Wilshire Blvd Ste 843
Beverly Hills, CA 90211-3104
Phone (310) 954-2207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3173 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1013442631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8549 WILSHIRE BLVD STE 843",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113104",
"telephone_number": "310-954-2207",
"fax_number": "855-809-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8641 WILSHIRE BLVD STE 220",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112920",
"telephone_number": "310-954-2207",
"fax_number": "855-809-5213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "TIN",
"middle_name": "DUC",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-21",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.