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Organization
SAN BERNARDINO WOMEN'S HEALTH MEDICAL GROUP, INC.
Active
Organization
SAN BERNARDINO WOMEN'S HEALTH MEDICAL GROUP, INC.
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUONG THIEU PHUNG M.D. (PRESIDENT)
(909) 591-1743
Entity
Organization
Contact information
Practice address
5365 WALNUT AVE, SUITE A, CHINO, CA 91710-2622
(909) 591-1743
(909) 591-1744
Mailing address
5365 WALNUT AVE, SUITE A, CHINO, CA 91710-2622
(909) 591-1743
(909) 591-1744
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A70551
CA
Other
Enumeration date
07/09/2006
Last updated
09/24/2012
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