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General NPI Number Information
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NPI Number | 1245391515
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Entity Type | Organization
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Legal Business Name | ADVANCED RADIOLOGY MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7715 GARVEY AVE
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City | ROSEMEAD
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State | CA
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Zip | 91770-3003
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Country | US
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Telephone | 626-280-0431
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Fax | 626-280-6840
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Provider Business Mailing Address
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Address Line | 7715 GARVEY AVE
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City | ROSEMEAD
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State | CA
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Zip | 91770-3003
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Country | US
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Telephone | 626-280-0431
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Fax | 626-280-6840
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Authorized Official
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Title or Position | OWNER
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Name | DR. THANH G. PHUNG
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Credential | M.D.
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Telephone | 626-280-0431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C42348
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | C42348
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | C42348
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License Number State | CA
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