Individual ProviderDung TrinhInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address23512 Madero, Mission Viejo, CA 92691-2743(949) 583-1600PECOS EnrollmentBased on the most recent information from CMS, provider Dung Trinh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1306827670Provider TypeIndividualFull NameTrinh, DungTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date11/14/2005Last Updated1/12/2016Contact InformationPractice LocationPractice Address23512 Madero, Mission Viejo, CA 92691-2743Phone(949) 583-1600Fax(949) 454-8067Mailing LocationMailing Address17360 Brookhurst St, Attn: Mcmf Credentialing Department, Fountain Valley, CA 92708-3720PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA63616CaliforniaProvider IdentifiersIDDescriptionIssuerID00A636160DescriptionMedicaidIssuerUnlistedCalifornia