Provider Demographics
NPI:1134270994
Name:TU, RICHARD MINH-LONG TON (DPM)
Entity type:Individual
Prefix:DR
First Name:RICHARD MINH-LONG
Middle Name:TON
Last Name:TU
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4475 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-1731
Mailing Address - Country:US
Mailing Address - Phone:619-269-4747
Mailing Address - Fax:619-269-4949
Practice Address - Street 1:4475 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-1731
Practice Address - Country:US
Practice Address - Phone:619-269-4747
Practice Address - Fax:619-269-4949
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4680213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1134270994Medicaid
CABB283ZMedicare PIN