TUNG PHAN

LOS ANGELES, CA
NPI1508130311
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA22075)
Enumeration Date2012-02-27
Last Update Date2021-11-23
Business Address
TUNG PHAN P.A.
507 S ATLANTIC BLVD
LOS ANGELES, CA 90022-2621
Phone number: 323-268-9191
Mailing Address
TUNG PHAN P.A.
3125 W ANACAPA WAY
ANAHEIM, CA 92801-6154
Phone number: 818-317-9291
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