| Thao P Phung, MD | |
|
2913 El Camino Real Ste 316, Tustin, CA 92782-8909 | |
| (949) 229-1153 | |
| (657) 245-3168 |
| Full Name | Thao P Phung |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 17 Years |
| Location | 2913 El Camino Real Ste 316, Tustin, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699909622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A125932 (California) | Secondary |
| 208M00000X | Hospitalist | A125932 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of California Irvine Medical Center | Orange, CA | Hospital |
| Memorialcare Orange Coast Medical Center | Fountain valley, CA | Hospital |
| Fountain Valley Regional Hospital & Medical Center | Fountain valley, CA | Hospital |
| Mission Palms Healthcare Center | Westminster, CA | Nursing home |
| Anaheim Healthcare Center, Llc | Anaheim, CA | Nursing home |
| Pacific Haven Subacute And Healthcare Center | Garden grove, CA | Nursing home |
| Alta Gardens Care Center | Garden grove, CA | Nursing home |
| Entity Name | Thao P Phung Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043792112 PECOS PAC ID: 5799037818 Enrollment ID: O20181017002305 |
| Mailing Address | Practice Location Address |
|---|---|
| Thao P Phung, MD 2913 El Camino Real Ste 316, Tustin, CA 92782-8909 Ph: (949) 229-1153 | Thao P Phung, MD 2913 El Camino Real Ste 316, Tustin, CA 92782-8909 Ph: (949) 229-1153 |