Individual
DR. PHUONG Q TIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14120 BEACH BLVD STE 180, WESTMINSTER, CA 92683-4454
(714) 333-3333
(714) 891-3234
Mailing address
14120 BEACH BLVD STE 180, WESTMINSTER, CA 92683-4454
(714) 333-3333
(714) 891-3234
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A111842
CA
208VP0014X
Interventional Pain Medicine Physician
A111842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12373080
CAQH
CA
Enumeration date
07/24/2008
Last updated
04/16/2020
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