SAM VAN TRUONG (NPI# 1841516689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841516689 |
| Entity Type | Individual |
| Full Name | SAM VAN TRUONG |
| Credential | M.D. |
| Practice Address |
23832 Rockfield Blvd Ste 220 Lake Forest CA 92630-2876 |
| Practice Telephone | 9497708115 |
| Mailing Telephone | 9497708115 |
| Mailing Fax Number | 8887149491 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A113368 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A113368 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073757936 | Sam Truong | Counselor | 2001 The Alameda, San Jose, CA 95126-1136 | 2009-04-22 |
| Street Address |
23832 ROCKFIELD BLVD STE 220 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-2876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447226386 | Karen Benik | Dermatology | 23832 Rockfield Blvd Ste 210, Lake Forest, CA 92630-2876 | 2006-02-28 |
| 1336114545 | Ira Bell | Dermatology | 23832 Rockfield Blvd, Ste 210, Lake Forest, CA 92630-2876 | 2006-02-21 |
| 1649251802 | Julia M Marshall | Dermatology | 800 N Westmoreland, Ste 100b, Lake Forest, IL 60045 | 2005-11-07 |
| 1407261217 | Amin Esfahani | Dermatology | 800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045 | 2014-07-01 |
| 1063848828 | Xania Darden | Dermatology | 23331 El Toro Rd, Suite 114, Lake Forest, CA 92630-4891 | 2013-09-24 |
| 1629211651 | Heather A. Downes, M.d., P.C., L.L.C. | Dermatology | 800 N Westmoreland Rd, Suite 100-b, Lake Forest, IL 60045-1673 | 2009-04-06 |
| 1891978714 | Ira Bell | Dermatology | 23832 Rockfield Blvd Ste 210, Lake Forest, CA 92630-2876 | 2007-12-13 |
| 1336256437 | Katina C Venetos | Dermatology | 800 N Westmoreland Rd, Suite 100c, Lake Forest, IL 60045 | 2006-08-24 |
| 1851358345 | Mark Allan Berk Md Sc | Dermatology | 900 N Westmoreland Rd, Suite 222, Lake Forest, IL 60045-1674 | 2006-04-27 |
| 1235196858 | Mark Allan Berk | Dermatology | 900 N Westmoreland Rd, Suite 222, Lake Forest, IL 60045-1674 | 2006-04-27 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.