Individual
KEVIN GIA-LE PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SAN PABLO ST, 3RD FLOOR, LOS ANGELES, CA 90033-5313
(323) 442-8970
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-8970
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A128491
CA
Other
Enumeration date
04/10/2012
Last updated
05/22/2019
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