Individual
JAMES VAN PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD.
Contact information
Practice address
732 CENTER DR., SAN MARCOS, CA 92069
(760) 839-5161
(760) 741-7160
Mailing address
10050 SCRIPPS VISTA WAY UNIT 28, SAN DIEGO, CA 92131
(858) 401-9088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12721
CA
152W00000X
Optometrist
Primary
12721T
CA
Other
Enumeration date
01/18/2007
Last updated
12/04/2019
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