Organization
ADVANCED RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH G. PHUNG M.D. (OWNER)
(626) 280-0431
Entity
Organization
Contact information
Practice address
7715 GARVEY AVE, ROSEMEAD, CA 91770-3003
(626) 280-0431
(626) 280-6840
Mailing address
7715 GARVEY AVE, ROSEMEAD, CA 91770-3003
(626) 280-0431
(626) 280-6840
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
C42348
CA
2085R0202X
Diagnostic Radiology Physician
C42348
CA
2085U0001X
Diagnostic Ultrasound Physician
C42348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ541862
BLUE SHIELD PROVIDER #
CA
Enumeration date
12/12/2006
Last updated
09/11/2025
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