Phun, Kenneth
Phun, Kenneth is an sole proprietor health care provider with primary practice located at 2418 San Gabriel Blvd , Rosemead CA 91770-3648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Phun, Kenneth can be contacted via phone (626) 288-7321.Contact Information
Primary practice address
2418 San Gabriel Blvd
Rosemead CA 91770-3648
Phone: (626) 288-7321
Fax: (626) 571-5275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A48951 | California |
Profile Details
| NPI number | 1801837927 |
|---|---|
| LBN Legal business name | Phun, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Nov 1st, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801837927 | NPPES |
| California | MEDICAID | 00A489510 |
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