Ngan Phung Lieu
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1164033726
StatusActive
Last updated in NPPESAug 16, 2020
Details
- NPI
- 1164033726
- Entity type
- Individual (NPI-1)
- Name
- Ngan Phung Lieu
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2020
- Certification date
- Aug 16, 2020
- Last updated
- Aug 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1985 Zonal AveLos Angeles, CA 90089-5305
Phone 510-207-0452
Mailing address
4716 Harris RdBakersfield, CA 93313-3355
Phone 510-207-0452
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