Provider Demographics
NPI:1780901140
Name:LUU-TRONG, NGUYEN CAO (MD)
Entity type:Individual
Prefix:DR
First Name:NGUYEN
Middle Name:CAO
Last Name:LUU-TRONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NGUYEN
Other - Middle Name:CAO
Other - Last Name:LUU-TRONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5757 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-5000
Mailing Address - Country:US
Mailing Address - Phone:714-504-5801
Mailing Address - Fax:
Practice Address - Street 1:5757 PLAZA DRIVE
Practice Address - Street 2:MAIL STOP CA124-0121
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630
Practice Address - Country:US
Practice Address - Phone:714-504-5801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50104207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine