Organization
RONALD TUNG MD INC
Active
Organization
RONALD TUNG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD TUNG (PRESIDENT)
(818) 993-6996
Entity
Organization
Contact information
Practice address
18433 ROSCOE BLVD, SUITE 214, NORTHRIDGE, CA 91325-4108
(818) 993-6996
Mailing address
18433 ROSCOE BLVD STE 107, NORTHRIDGE, CA 91325-4130
(818) 993-6996
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
G44657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G44657
—
CA
Enumeration date
05/23/2008
Last updated
03/08/2019
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