Phung, Thanh Gia

Phung, Thanh Gia is an sole proprietor health care provider with primary practice located at 661 W 1St St Ste G , Tustin CA 92780-2939. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Phung, Thanh Gia can be contacted via phone (714) 665-9890.

Contact Information

Primary practice address
661 W 1St St Ste G Tustin CA 92780-2939
Phone: (714) 665-9890
Fax: (714) 665-9891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X C42348 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C42348 California

Profile Details

NPI number 1952315319
LBN Legal business name Phung, Thanh Gia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Oct 22nd, 2025 - about last year

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 1952315319 NPPES
California MEDICAID 00C423480

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