Search › California › 101Y00000X
Pheng Thao
NPI 1366682023 · on the registry since 2009
Practice
- Address
- 2772 Martin Luther King Blvd.
Fresno, CA 93706 - Phone
- (559) 265-4800
- Fax
- (559) 265-4823
- Organisation at this address
- West Care
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California