Provider Demographics
NPI:1689080251
Name:THONG TRUONG, DPM, INC
Entity Type:Organization
Organization Name:THONG TRUONG, DPM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THONG
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:530-343-1666
Mailing Address - Street 1:670 RIO LINDO AVE
Mailing Address - Street 2:SUITE 1,000
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926
Mailing Address - Country:US
Mailing Address - Phone:530-343-1666
Mailing Address - Fax:530-343-1625
Practice Address - Street 1:670 RIO LINDO AVE
Practice Address - Street 2:SUITE 1,000
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926
Practice Address - Country:US
Practice Address - Phone:530-343-1666
Practice Address - Fax:530-343-1625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4037213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty