# TUNG PHAN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TUNG PHAN MD INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518138015
- **Legal business name:** TUNG PHAN MD INC
- **Authorized official:** MR. TUNG THANH PHAN MD (PHYSICIAN)
- **Authorized official phone:** (714) 530-3939

## Contact information

- **Practice address:** 10152 WESTMINSTER AVE, GARDEN GROVE, CA 92843-4754
- **Practice address phone:** (714) 530-3939
- **Practice address fax:** (714) 530-8388
- **Mailing address:** 10152 WESTMINSTER AVE, GARDEN GROVE, CA 92843-4754
- **Mailing address phone:** (714) 530-3939
- **Mailing address fax:** (714) 530-8388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A43113 | CA | Yes |

## Other

- **Enumeration date:** 03/12/2008
- **Last updated:** 03/12/2008