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Kien Tri Phung, D.O.

Ophthalmology in Visalia, CA. Individual provider (NPI-1).

NPI number1881741668
StatusActive
Last updated in NPPESAug 8, 2016

Details

NPI
1881741668
Entity type
Individual (NPI-1)
Name
Kien Tri Phung
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 4, 2007
Last updated
Aug 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology20A13766CAYes

Practice location

137 S Aspen Ct
Ste. C
Visalia, CA 93291-5175

Phone 559-733-7024 · Fax 559-733-7169

Mailing address

100 E California Blvd
Pasadena, CA 91105-3205

Phone 626-568-8838 · Fax 626-574-7188

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