Provider Demographics
NPI:1760660625
Name:TRUONG, TIM BAOTIN HONG (DO)
Entity Type:Individual
Prefix:DR
First Name:TIM
Middle Name:BAOTIN HONG
Last Name:TRUONG
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:466 E CALAVERAS BLVD STE C
Mailing Address - Street 2:RAINBOW MEDICAL CENTER
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5453
Mailing Address - Country:US
Mailing Address - Phone:408-684-3355
Mailing Address - Fax:408-684-6663
Practice Address - Street 1:466 E CALAVERAS BLVD STE C
Practice Address - Street 2:RAINBOW MEDICAL CENTER
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5453
Practice Address - Country:US
Practice Address - Phone:408-684-3355
Practice Address - Fax:408-684-6663
Is Sole Proprietor?:No
Enumeration Date:2008-02-03
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A10857208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics