person
Kunthy Prum, MD
General Practice Physician in Long Beach, California
NPI 1760582738

Kunthy Prum is a General Practice Physician based in Long Beach, CA. Kunthy Prum practices in Long Beach, CA and has the professional credentials of MD. The NPI Number for Kunthy Prum is 1760582738 and holds a License No. A39667 (California).

The current practice location address for Kunthy Prum is 1082 Redondo Ave, Long Beach, CA and can be reached out via phone at 562-434-4457 and via fax at 562-434-4458.

Location: 1082 Redondo Ave, Long Beach, CA, 90804
person
Provider Profile Details
NPI Number
1760582738
Provider Name
Kunthy Prum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1082 Redondo Ave, Long Beach, CA, 90804
Phone Number
562-434-4457
Fax Number
562-434-4458
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A396670 05 CA
institution
Provider Business Practice Location Address Details
Address
1082 Redondo Ave
City
State
Zip
90804
Phone Number
562-434-4457
Fax Number
562-434-4458
person
Provider Business Mailing Address Details
Address
1082 Redondo Ave
City
State
Zip
90804
Phone Number
562-434-4457
Fax Number
562-434-4458
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A39667 (California)
Definition
Definition to come...
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