Organization
K PHUN MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PHUN MD (PRESIDENT)
(626) 288-7321
Entity
Organization
Contact information
Practice address
2418 SAN GABRIEL BLVD, ROSEMEAD, CA 91770-3674
(626) 288-7321
(626) 571-5275
Mailing address
2418 SAN GABRIEL BLVD, ROSEMEAD, CA 91770-3674
(626) 288-7321
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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