Phung, Steve
Phung, Steve is an sole proprietor health care provider with primary practice located at 11412 Washington Blvd , Whittier CA 90606-3122. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Phung, Steve can be contacted via phone (562) 908-0510.Contact Information
Primary practice address
11412 Washington Blvd
Whittier CA 90606-3122
Phone: (562) 908-0510
Fax: (562) 908-0511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11097T | California |
Profile Details
| NPI number | 1144212713 |
|---|---|
| LBN Legal business name | Phung, Steve |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jun 30th, 2009 - about 15 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 | 1144212713 | NPPES |
| California | Other | AV936Y | MEDICARE PTAN |
| California | MEDICAID | SD0110972 | MEDICARE PTAN |
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