Active NPI
Paolo V Truong, PHARM. D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1699250308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79105
- Practice address
- 735 S Figueroa St
Los Angeles, CA 90017-2571 - Phone
- (213) 330-4543
- NPI assigned
- Sep 27, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79105 | CA | Primary |
Addresses
Primary practice location
735 S Figueroa St
Los Angeles, CA 90017-2571
Mailing address
745 E Valley Blvd # 279
San Gabriel, CA 91776-3549
Phone (626) 328-0057
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)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79105 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1699250308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 E VALLEY BLVD # 279",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917763549",
"telephone_number": "626-328-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 S FIGUEROA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900172571",
"telephone_number": "213-330-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "PAOLO",
"middle_name": "V",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-27",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79105",
"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 Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.