Provider Demographics
NPI:1518843416
Name:TRUONG, VIANNA
Entity type:Individual
Prefix:
First Name:VIANNA
Middle Name:
Last Name:TRUONG
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35826 RHONE LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-9164
Mailing Address - Country:US
Mailing Address - Phone:951-265-2091
Mailing Address - Fax:
Practice Address - Street 1:35826 RHONE LN
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:CA
Practice Address - Zip Code:92596-9164
Practice Address - Country:US
Practice Address - Phone:951-265-2091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program