Chi Huu Phung, M.d., Inc | |
13155 Brookhurst St Garden Grove CA 92843-1080 | |
(714) 537-8487 | |
(714) 537-9403 |
Full Name | Chi Huu Phung, M.d., Inc |
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Speciality | Clinic/center - Primary Care |
Location | 13155 Brookhurst St, Garden Grove, California |
Authorized Official Name and Position | Chi H Phung (DOCTOR) |
Authorized Official Contact | 7145378487 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chi Huu Phung, M.d., Inc 13155 Brookhurst St Garden Grove CA 92843-1080 Ph: (714) 537-8487 | Chi Huu Phung, M.d., Inc 13155 Brookhurst St Garden Grove CA 92843-1080 Ph: (714) 537-8487 |
NPI Number | 1508930124 |
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Provider Enumeration Date | 11/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508930124 | NPI | - | NPPES |
00A641180 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A64118 (California) | Primary |
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