Miyoco Medical Center Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

A45852 Issued in CA

Legal business name

MIYOCO MEDICAL CENTER INC.

Practice address

15975 Harbor Blvd
Fountain Valley, CA 92708-1303

Phone

(714) 546-6575

Fax

(714) 551-9411

NPI assigned

Dec 7, 2010

Last updated

Sep 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hiep Truong, MDNPI 1578520151

Title

Owner

Phone

(714) 546-6575

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hiep Truong, M.D.

  • Obstetrics & Gynecology Physician
  • Fountain Valley, CA
  • NPI 1578520151
  Medicare reassignment Care Compare group Authorized official
• Alexander Hoang Truong

  • Psychiatry Physician
  • Fountain Valley, CA
  • NPI 1457918559
  Medicare reassignment Care Compare group
• Laurent H Truong, MD

  • Family Medicine Physician
  • Fountain Valley, CA
  • NPI 1326669383
  Medicare reassignment Care Compare group
• Anne K Le, PA-C

  • Physician Assistant
  • Huntington Beach, CA
  • NPI 1174091326
  NPD (past)
• Kinh Tu Tran, M.D.

  • Family Medicine Physician
  • Fountain Valley, CA
  • NPI 1295799534
  NPD (past)

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1285937631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15975 HARBOR BLVD",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081303",
            "telephone_number": "714-546-6575",
            "fax_number": "714-551-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15975 HARBOR BLVD",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081303",
            "telephone_number": "714-546-6575",
            "fax_number": "714-551-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIYOCO MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "HIEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-546-6575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A45852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578520151",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.