Phung, Phiet

Phung, Phiet is an individual health care provider with primary practice located at 19066 Magnolia St , Huntington Beach CA 92646-2232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Phung, Phiet can be contacted via phone (714) 968-0068.

Contact Information

Primary practice address
19066 Magnolia St Huntington Beach CA 92646-2232
Phone: (714) 968-0068
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X C52757 California

Profile Details

NPI number 1396950465
LBN Legal business name Phung, Phiet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Nov 5th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396950465 NPPES
California Other 05946579 ECFMG
California MEDICAID 00C527570 ECFMG

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