Mill-Waterman Medical Corporation

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A80779 Issued in CA

Legal business name

MILL-WATERMAN MEDICAL CORPORATION

Practice address

385 E Mill St Ste 13
San Bernardino, CA 92408-1545

Phone

(909) 383-0594

NPI assigned

Jul 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vu T Truong, M.D.

Title

Vice-President

Phone

(909) 383-0594

Specialties & licenses 1

Addresses

Practitioners 1

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

• Thach Ngoc Truong, MD

  • General Practice Physician
  • San Bernardino, CA
  • NPI 1447315106
  NPD (past)

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1183939200000",
    "number": "1801094149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 E MILL ST STE 13",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 E MILL ST STE 13",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081545",
            "telephone_number": "909-383-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL-WATERMAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-07-09",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "VU",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "909-383-0594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A80779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Migliacci
• Katherine Frances Migliaccio
• Maria Mikhail
• Djordje Milivojevic, DO
• Mill Medical Clinic Inc
• Frank Steven Millan, BA
• Yessenia Millan
• Miller in Home Care LLC
• Carla Miller-Lark
• Amy Miller

• Adult Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.