Andy N Truong M.D, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A66251 Issued in CA

Legal business name

ANDY N TRUONG M.D, INC.

Practice address

16027 Brookhurst St
G-135
Fountain Valley, CA 92708-1551

Phone

(714) 323-6446

Fax

(714) 844-9494

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andy Ngoc Truong, M.DNPI 1174583033

Title

Ceo/Physician

Phone

(714) 323-6446

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andy Ngoc Truong, M.D.

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1174583033

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447211495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST",
            "address_2": "G-135",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551",
            "telephone_number": "714-323-6446",
            "fax_number": "714-844-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST",
            "address_2": "G-135",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551",
            "telephone_number": "714-323-6446",
            "fax_number": "714-844-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY N TRUONG M.D, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "714-323-6446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ09476Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fountain Valley, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.