Individual provider · Type 1 NPI

Tam Truong, DO

Student in an Organized Health Care Education/Training Program · Stockton, CA

NPI number 1821676594 Active

Practice location

1800 N California St
Stockton, CA 95204-6019

Mailing address

10800 Magnolia Ave
Riverside, CA 92505-3043

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X20A20315 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821676594

Tam Truong, DO's National Provider Identifier is 1821676594, issued on Apr 1, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Aug 22, 2026.