NPI 1013535921
Jessica Phung, DPT
Practice location
- Address
- 2552 Walnut Ave STE 130, Tustin, CA 92780-6970
- Phone
- (714) 508-1600
- Mailing address
- 22 Odyssey STE 165, Irvine, CA 92618-3194
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1013535921
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Jul 2020
- Record last updated
- 28 Jan 2021
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.