Organization Active NPI

Kevin Thuc Truong DDS, Apc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1295066025
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53640 Issued in CA
Legal business name
KEVIN THUC TRUONG DDS, APC
Practice address
2320 S Robertson Blvd
102
Los Angeles, CA 90034-2060
Phone
(310) 839-8831
NPI assigned
Jan 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Authorized official

Name
Kevin Thuc Truong, DDS
Title
Doctor
Phone
(310) 839-8831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 53640 CA Primary

Addresses

Primary practice location

2320 S Robertson Blvd
102
Los Angeles, CA 90034-2060

Mailing address

2320 S Robertson Blvd
102
Los Angeles, CA 90034-2060
Phone (310) 839-8831

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1295066025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 S ROBERTSON BLVD",
            "address_2": "102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342060",
            "telephone_number": "310-839-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 S ROBERTSON BLVD",
            "address_2": "102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342060",
            "telephone_number": "310-839-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN THUC TRUONG DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "THUC",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-839-8831",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.