Individual
DR. CELYNE THAO PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1211 W LA PALMA AVE, SUITE 207, ANAHEIM, CA 92801-2810
(714) 772-8282
(714) 772-6493
Mailing address
1211 W LA PALMA AVE, SUITE 207, ANAHEIM, CA 92801-2810
(714) 772-8282
(714) 772-6493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A130094
CA
Other
Enumeration date
05/09/2013
Last updated
12/01/2021
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