| CHI Huu Phung, M.D., Inc | |
|
13155 Brookhurst St Garden Grove CA 92843-1080 | |
| (714) 537-8487 | |
| (714) 537-9403 |
| Full Name | CHI Huu Phung, M.D., Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13155 Brookhurst St, Garden Grove, California |
| Authorized Official Name and Position | CHI H Phung (DOCTOR) |
| Authorized Official Contact | 7145378487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| CHI Huu Phung, M.D., Inc 13155 Brookhurst St Garden Grove CA 92843-1080 Ph: (714) 537-8487 | CHI Huu Phung, M.D., Inc 13155 Brookhurst St Garden Grove CA 92843-1080 Ph: (714) 537-8487 |
| NPI Number | 1508930124 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508930124 | NPI | - | NPPES |
| 00A641180 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A64118 (California) | Primary |
Aaa Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13071 Brookhurst St Ste 150, Garden Grove, CA 92843 Phone: 657-251-0974 Fax: 657-251-0971 |
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