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Organization
THANHGIA PHUNG PRAIRIE MEDICAL GROUP
Active
Organization
THANHGIA PHUNG PRAIRIE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH GIA PHUNG M.D. (MEDICAL DIRECTOR)
(310) 970-9040
Entity
Organization
Contact information
Practice address
15027 SOUTH PRAIRIE AVE, LAWNDALE, CA 90260
(310) 970-9040
(310) 970-9201
Mailing address
15027 SOUTH PRAIRIE AVE, LAWNDALE, CA 90260
(310) 970-9040
(310) 970-9201
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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