PHONG THANH DAO

SAN DIEGO, CA
NPI1902822265
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  20A9502)
Enumeration Date2006-07-13
Last Update Date2007-07-08
Business Address
-- PHONG THANH DAO D.O.
9225 MIRA MESA BLVD SUITE 206
SAN DIEGO, CA 92126-4820
Phone number: 858-831-1567
Mailing Address
-- PHONG THANH DAO D.O.
11410 BELSHIRE LN
SAN DIEGO, CA 92126-5553
Phone number:
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