Individual
SAMANTHA PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4323 W RIVERSIDE DR, BURBANK, CA 91505-4044
(818) 556-2700
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A20980
CA
Other
Enumeration date
04/10/2018
Last updated
07/13/2023
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