Individual
MICHAEL CHANG PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2130
Mailing address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2130
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A160823
CA
Other
Enumeration date
06/04/2014
Last updated
05/19/2022
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