Phung, Tai Thien

Phung, Tai Thien is an sole proprietor health care provider with primary practice located at 9353 Valley Blvd , Rosemead CA 91770-1923. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Phung, Tai Thien can be contacted via phone (626) 287-2988.

Contact Information

Primary practice address
9353 Valley Blvd Rosemead CA 91770-1923
Phone: (626) 287-2988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 780978 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP95019571 California

Profile Details

NPI number 1760098032
LBN Legal business name Phung, Tai Thien
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2020
Last updated Mar 16th, 2022 - about 2 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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