| Thanh Gia Phung, MD | |
|
661 W 1st St Ste G, Tustin, CA 92780-2939 | |
| (714) 665-9890 | |
| (714) 665-9891 |
| Full Name | Thanh Gia Phung |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 53 Years |
| Location | 661 W 1st St Ste G, Tustin, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952315319 | NPI | - | NPPES |
| 00C423480 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C42348 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | C42348 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Magnolia Medical Imaging Center Inc A Medical Group | 7719976414 | 2 |
| Entity Name | Magnolia Medical Imaging Center Inc A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376685446 PECOS PAC ID: 7719976414 Enrollment ID: O20040507001355 |
| Entity Name | Families Together Of Orange County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194122457 PECOS PAC ID: 7517268816 Enrollment ID: O20151210000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Thanh Gia Phung, MD 661 W 1st St Ste G, Tustin, CA 92780-2939 Ph: (714) 665-9890 | Thanh Gia Phung, MD 661 W 1st St Ste G, Tustin, CA 92780-2939 Ph: (714) 665-9890 |
Mrs. Hemlata K Lepkowski, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1401 No Tustin Ave #170, Tustin, CA 92705 Phone: 714-543-7643 Fax: 714-480-7829 | |
Khanh Hung Vu, MD Radiology Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 | |
Dr. Tapan Roy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14662 Newport Ave, Tustin, CA 92780 Phone: 714-573-9500 | |
Dr. Vijaykumar Ramchandra Kini, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2895 Edinger Ave, Tustin, CA 92780 Phone: 949-381-5800 Fax: 949-552-5152 | |
Reza Dehdari, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2615 Saint Simons, Tustin, CA 92782 Phone: 714-456-7890 | |
Dr. Siu-ming Tam, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 13422 Newport Av, Suite I, Tustin, CA 92780 Phone: 714-665-6901 Fax: 714-665-6904 | |
Gideon Strich, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 13762 Fairmont Way, Tustin, CA 92780 Phone: 714-684-6166 Fax: 714-364-1803 |