Thao P Phung MD INC
NPI #1043792112 in Fountain Valley, California
Provider Information
- NPI Number
- 1043792112
- Entity Type
- Organization
- Organization Name
- Thao P Phung MD INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 5, 2018
- Last Updated
- Aug 31, 2023
Practice Location
- Address
- 18035 BROOKHURST ST
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-6738
- Phone
- (310) 483-6256
Authorized Official
- Name
- THAO PHUNG, M.D.
- Title
- PRESIDENT
- Phone
- (310) 483-6256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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