Individual
IRENE THUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11201 BENTON STREET, DEPT. OF PATHOLOGY (113), LOMA LINDA, CA 92357
(909) 825-7084
Mailing address
11201 BENTON STREET, DEPARTMENT OF PATHOLOGY (113), LOMA LINDA, CA 92357
(925) 330-4488
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A134713
CA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
12/21/2015
Last updated
07/21/2022
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