| Organization Name: | CAO THI PHUONG DUNG MD INC |
| NPI Number: | 1285711432 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DUNG THI PHUONG CAO (DIRECTOR) |
| Mailing Address: | 6665 Stockton Blvd Suite 8 Sacramento |
| State: | CA US |
| Postal Code: | 95823 |
| Phone Number: | 9164284118 |
| Fax Number: | 9164285460 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A61997 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |