Individual
ELLEN PHAMDUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2051 MARENGO ST # C4E100, LOS ANGELES, CA 90033-1352
(323) 409-7748
Mailing address
2051 MARENGO ST # C4E100, LOS ANGELES, CA 90033-1352
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A138991
CA
Other
Enumeration date
03/27/2016
Last updated
12/03/2021
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