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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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