Individual
JOHNNY PHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 INTERNATIONAL CIR, BLDG 4 MED 1C, SAN JOSE, CA 95119-1130
(408) 972-7000
Mailing address
260 INTERNATIONAL CIR, BLDG 4 MED 1C, SAN JOSE, CA 95119-1130
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A160287
CA
Other
Enumeration date
04/05/2017
Last updated
12/22/2021
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