Individual
DUNG THANH PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC. MSAOM, DACHM
Contact information
Practice address
15079 GOLDENWEST ST, HUNTINGTON BEACH, CA 92647-2710
(714) 204-6522
Mailing address
15079 GOLDENWEST ST, HUNTINGTON BEACH, CA 92647-2710
(714) 204-6522
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
19580
CA
Other
Enumeration date
03/01/2023
Last updated
06/22/2024
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