Individual
DR. PHONG DOXUAN VUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, DEPARTMENT OF INTERVENTIONAL RADIOLOGY #3740G, LOS ANGELES, CA 90033-1029
(323) 226-4218
Mailing address
2284 HAZEL RD, TUSTIN, CA 92780-6848
(949) 547-5116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A99414
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A99414
CA
Other
Enumeration date
02/28/2008
Last updated
10/28/2022
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