Provider Demographics
NPI:1215362629
Name:DUONG, NGOC-TRUC THUY (MD)
Entity Type:Individual
Prefix:MS
First Name:NGOC-TRUC
Middle Name:THUY
Last Name:DUONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:#100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:866-681-0736
Mailing Address - Fax:
Practice Address - Street 1:1160 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-3710
Practice Address - Country:US
Practice Address - Phone:916-865-1000
Practice Address - Fax:916-865-1005
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA126702207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine