Dao Tien Truong

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

RDA73684 Issued in CA

Practice address

5162 Whittier Blvd
East Los Angeles, CA 90022-3932

Phone

(323) 510-5920

NPI assigned

May 9, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588982400000",
    "number": "1225650583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 FALLING LEAF AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702430",
            "telephone_number": "626-409-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 WHITTIER BLVD",
            "city": "EAST LOS ANGELES",
            "state": "CA",
            "postal_code": "900223932",
            "telephone_number": "323-510-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "DAO",
        "middle_name": "TIEN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-09",
        "last_updated": "2020-05-09",
        "certification_date": "2020-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA73684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RDA73684",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dabrina L Suttle
• Mintra Tan, D.D.S.
• Keilyn Tanimoto, DPT
• Cindy Joana Tapia-Mendoza
• Valeria Del Rocio Temblador
• Gisela Valenzuela
• Anthony Ray Wallace
• Millicent Elaine Wilson, MD
• Xochitlquetzal Birthwork LLC
• Ericson Yabut

• Dental Assistant in East Los Angeles, CA
• Providers in East Los Angeles, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.