# ADVANCED RADIOLOGY MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245391515
- **Authorized official:** DR. THANH G. PHUNG M.D. (OWNER)
- **Authorized official phone:** (626) 280-0431

## Contact information

- **Practice address:** 7715 GARVEY AVE, ROSEMEAD, CA 91770-3003
- **Practice address phone:** (626) 280-0431
- **Practice address fax:** (626) 280-6840
- **Mailing address:** 7715 GARVEY AVE, ROSEMEAD, CA 91770-3003
- **Mailing address phone:** (626) 280-0431
- **Mailing address fax:** (626) 280-6840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | C42348 | CA | Yes |
| 2085R0202X | Diagnostic Radiology Physician | C42348 | CA | — |
| 2085U0001X | Diagnostic Ultrasound Physician | C42348 | CA | — |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ZZZ541862 | BLUE SHIELD PROVIDER \# | CA |