Individual
CHI HUU PHUNG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2514 E. ALKI PL, ANAHEIM, CA 92806-5002
(714) 817-8455
(714) 537-9403
Mailing address
2514 E ALKI PL, ANAHEIM, CA 92806-5002
(714) 817-8455
(714) 537-9403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A64118B
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A641180
—
CA
Enumeration date
06/20/2005
Last updated
07/09/2007
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