Individual
HONGPHUC PHU HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 321-6310
(951) 784-3260
Mailing address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 321-6310
(951) 784-3260
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A10601
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ31887Z
SITE ZZZ
CA
Enumeration date
07/07/2008
Last updated
04/14/2025
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