Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A139229 | CA |
N | 111NI0900X | Internist | A139229 | CA |
Y | 207RH0002X | Hospice and Palliative Medicine | A139229 | CA |
NPI | 1124439047 |
---|---|
Provider Name | Eric Quang-Chinh Trieu |
First Address | Woodland Hills, CA 91367-3730 |
Second Address | Burbank, CA 91505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2014 |
Last Update Date | 09/10/2019 |