Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thao P Phung MD Inc

Organization Internal Medicine Physician · NPI 1043792112

Thao P Phung MD Inc is an Internal Medicine Physician in Fountain Valley, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18035 Brookhurst St
Fountain Valley, CA 92708-6738
Phone: (310) 483-6256
Fax: (562) 232-3728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 17100 Euclid St, Fountain Valley, CA 92708-4004 — (310) 483-6256
  • 2913 El Camino Real Ste 316, Tustin, CA 92782-8909 — (949) 229-1153

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A125932 (CA)

Record details

NPI number1043792112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thao Phung — President · (310) 483-6256
NPI enumeratedSeptember 5, 2018
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023
Mailing address2913 El Camino Real Ste 316, Tustin, CA 92782-8909

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