# CAO THI PHUONG DUNG MD INC

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

## Provider details

- **NPI number:** 1285711432
- **Authorized official:** DUNG THI PHUONG CAO MD (DIRECTOR)
- **Authorized official phone:** (916) 428-4118

## Contact information

- **Practice address:** 6665 STOCKTON BLVD, SUITE 8, SACRAMENTO, CA 95823
- **Practice address phone:** (916) 428-4118
- **Practice address fax:** (916) 428-5460
- **Mailing address:** PO BOX 293839, SACRAMENTO, CA 95829
- **Mailing address phone:** (916) 428-4118
- **Mailing address fax:** (916) 428-5460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A61997 | CA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | A619972 | — | CA |