# MAO H. HUNG,M.D.,A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1740423888
- **Authorized official:** DR. MAO H HUNG M.D. (PRESIDENT)
- **Authorized official phone:** (760) 256-7134

## Contact information

- **Practice address:** 313 E BUENA VISTA ST STE 103, BARSTOW, CA 92311-2861
- **Practice address phone:** (760) 256-7134
- **Mailing address:** 313 E BUENA VISTA ST STE 103, BARSTOW, CA 92311-2861
- **Mailing address phone:** (760) 256-7134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A30974 | CA | Yes |

## Other

- **Enumeration date:** 04/17/2009
- **Last updated:** 04/17/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A309741 | — | CA |