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Tai Thien Phung, PMHNP
Nurse Practitioner in Rosemead, California
NPI 1760098032

Tai Thien Phung is a Nurse Practitioner based in Rosemead, CA. Tai Thien Phung practices in Rosemead, CA and has the professional credentials of PMHNP. The NPI Number for Tai Thien Phung is 1760098032 and holds a License No. 780978 (California).

The current practice location address for Tai Thien Phung is 9353 Valley Blvd, Rosemead, CA and can be reached out via phone at 626-287-2988.

Location: 9353 Valley Blvd, Rosemead, CA, 91770-1923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760098032
Provider Name
Tai Thien Phung
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
9353 Valley Blvd, Rosemead, CA, 91770-1923
Phone Number
626-287-2988
Fax Number
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9353 Valley Blvd
City
Rosemead
State
California
Zip
91770-1923
Phone Number
626-287-2988
Fax Number
person
Provider Business Mailing Address Details
Address
9353 Valley Blvd
City
Rosemead
State
California
Zip
91770-1923
Phone Number
626-287-2988
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
NP95019571 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
780978 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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