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Organization
SOTHY L PHENG MD A PROFESSIONAL CORPORATION
Active
Organization
SOTHY L PHENG MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOTHY LUN PHENG MD (PRESIDENT)
(978) 551-8088
Entity
Organization
Contact information
Practice address
2961 OAKBERRY CT, FULLERTON, CA 92835-4304
(978) 551-8088
Mailing address
PO BOX 3446, FULLERTON, CA 92834-3446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2086948
—
MA
Enumeration date
01/02/2020
Last updated
01/02/2020
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