NPI 1003103714

Georgia L Pung, MD

Practitioner Pediatrics Physician Mill Valley, CA

Practice location

Address: 61 Camino Alto STE 108, Mill Valley, CA 94941-2934
Phone: (415) 388-6303
Fax: (415) 388-7136
Mailing address: 910 Alturas Way, Mill Valley, CA 94941-4140

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence G062572 (CA)

Other Pediatrics providers in California →

Registry record

NPI: 1003103714
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2011
Record last updated: 1 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.