Active NPI
Susan Phong Trieu, PH.D, , L.AC
- Acupuncturist
- Pomona, CA
National Provider Identifier
1992957310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 7541
- Practice address
- 110 Lincoln Ave
Pomona, CA 91767-3818 - Phone
- (909) 275-8346
- NPI assigned
- Oct 16, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 7541 | CA | Primary |
Addresses
Primary practice location
110 Lincoln Ave
Pomona, CA 91767-3818
Mailing address
110 East Lincoln Ave.
Pomona, CA 91767
Phone (909) 275-8346
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 7541 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1992957310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 EAST LINCOLN AVE.",
"city": "POMONA",
"state": "CA",
"postal_code": "91767",
"telephone_number": "909-275-8346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LINCOLN AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917673818",
"telephone_number": "909-275-8346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIEU",
"first_name": "SUSAN",
"middle_name": "PHONG",
"name_prefix": "Dr.",
"credential": "PH.D, , L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 7541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.