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Organization
HY PHUNG NGO MD INC
Active
Organization
HY PHUNG NGO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HY PHUNG NGO MD (PRESIDENT)
(626) 572-4658
Entity
Organization
Contact information
Practice address
625 E VALLEY BLVD, SUITE H&I, SAN GABRIEL, CA 91776-3591
(626) 572-4658
(626) 572-4659
Mailing address
625 E VALLEY BLVD, SUITE H&I, SAN GABRIEL, CA 91776-3591
(626) 572-4658
(626) 572-4659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A69736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A697360
—
CA
Enumeration date
12/26/2006
Last updated
11/25/2013
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