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

Sothy Lun Pheng, MD

Individual provider Internal Medicine Physician · NPI 1083697007

Sothy Lun Pheng, MD is an Internal Medicine in Fullerton, California. Graduated from University of Connecticut School of Medicine in 2004, 22 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
22
Trained at
University of Connecticut School of Medicine
Licensed in
CA, MA
In the registry since
2005
Specialties on file
2
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

2961 Oakberry Ct
Fullerton, CA 92835-4304
Phone: (978) 551-8088
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence C132666 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 220489 (MA)

Record details

NPI number1083697007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fullerton