Provider Demographics
NPI:1558336743
Name:TRINH, HUNG QUOC (MD,)
Entity Type:Individual
Prefix:
First Name:HUNG
Middle Name:QUOC
Last Name:TRINH
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 E SANTA CLARA ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-2266
Mailing Address - Country:US
Mailing Address - Phone:408-294-8663
Mailing Address - Fax:408-280-0568
Practice Address - Street 1:990 E SANTA CLARA ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-2266
Practice Address - Country:US
Practice Address - Phone:408-294-8663
Practice Address - Fax:408-280-0568
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38235207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine