Cao, Dung Thi Phuong

Cao, Dung Thi Phuong is an sole proprietor health care provider with primary practice located at 6665 Stockton Blvd Suite 8, Sacramento CA 95823. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Cao, Dung Thi Phuong can be contacted via phone (916) 428-4118.

Contact Information

Primary practice address
6665 Stockton Blvd Suite 8 Sacramento CA 95823
Phone: (916) 428-4118
Fax: (916) 428-5460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A61997 California

Profile Details

NPI number 1295812444
LBN Legal business name Cao, Dung Thi Phuong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Nov 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295812444 NPPES
California MEDICAID 0A619972

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