Individual
ANDREW PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CONGRESS ST STE 208, PASADENA, CA 91105-3027
(626) 792-2166
(626) 795-0740
Mailing address
10 CONGRESS ST STE 208, PASADENA, CA 91105-3027
(626) 792-2166
(626) 795-0740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A22573
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/03/2021
Last updated
09/12/2024
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