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Search › California › 103TC0700X

Phung Tieu

NPI 1982814349 · on the registry since 2007

Practice

Address
2400 Moorpark Ave Ste 300
San Jose, CA 95128
Phone
(858) 699-6919
Fax
(408) 975-2745
Organisation at this address
Aaci
Acci/Cst
Pace Clinic
County Of Santa Clara
County Of Santa Clara
Inferred from a shared address, not stated in the registry.
Clinicians at this address
309

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-30

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