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1598178873
MICHAEL CHANG PHUNG
PANORAMA CITY, CA
NPI
1598178873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: CA A160823)
Enumeration Date
2014-06-04
Last Update Date
2022-05-19
Business Address
MICHAEL CHANG PHUNG MD
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2130
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Mailing Address
MICHAEL CHANG PHUNG MD
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2130
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