Individual
THAO P PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2913 EL CAMINO REAL STE 316, TUSTIN, CA 92782-8909
(949) 229-1153
(657) 245-3168
Mailing address
2913 EL CAMINO REAL STE 316, TUSTIN, CA 92782-8909
(949) 229-1153
(657) 245-3168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A125932
CA
208M00000X
Hospitalist Physician
Primary
A125932
CA
Other
Enumeration date
05/05/2009
Last updated
04/04/2019
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