Individual
PHILLIP T GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD STE 1128, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4100
(310) 423-0416
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
148851
CA
207RG0100X
Gastroenterology Physician
Primary
A148851
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2015
Last updated
08/02/2022
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