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

Dr. Vivien Phung, MD

Individual provider Pediatrics Physician · NPI 1447754437

Dr. Vivien Phung, MD is a Pediatrics Physician in Jackson, Michigan. Works from 2 locations. Licensed in California and Michigan.

Licensed in
CA, MI
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-4800
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 505 S Main St Ste 525, Orange, CA 92868-4553 — (714) 456-5631

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301504829 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 164816 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447754437
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2018
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021
Mailing address1 Ford Pl Ste 2e, Detroit, MI 48202-3450

Other providers in Jackson