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Organization
PHONG THIEN VU, M.D., INC.
Active
Organization
PHONG THIEN VU, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHONG THIEN VU M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
17772 BEACH BLVD, HUNTINGTON BEACH, CA 92647-6819
(714) 842-1473
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A71476
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A71476
CA
Other
Enumeration date
05/20/2008
Last updated
01/06/2010
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