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1043792112
THAO P PHUNG MD INC
FOUNTAIN VALLEY, CA
NPI
1043792112
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Entity Type
Organization
Authorized Contact
THAO PHUNG
President
310-483-6256
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A125932)
Enumeration Date
2018-09-05
Last Update Date
2023-08-31
Business Address
THAO P PHUNG MD INC
18035 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708-6738
Phone number: 310-483-6256
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Mailing Address
THAO P PHUNG MD INC
2913 EL CAMINO REAL STE 316
TUSTIN, CA 92782-8909
Phone number: 949-229-1153
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