Organization
TUNG PHAN MD INC
Active
Parent organization
TUNG PHAN MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TUNG PHAN MD INC
Authorized official
MR. TUNG THANH PHAN MD (PHYSICIAN)
(714) 530-3939
Entity
Organization
Contact information
Practice address
10152 WESTMINSTER AVE, GARDEN GROVE, CA 92843-4754
(714) 530-3939
(714) 530-8388
Mailing address
10152 WESTMINSTER AVE, GARDEN GROVE, CA 92843-4754
(714) 530-3939
(714) 530-8388
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A43113
CA
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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