Dr. Georgia L Pung
Pediatrician
61 Camino Alto Ste 108
Mill Valley
, California 94941-2934
Dr. Georgia L Pung
Pediatrician
61 Camino Alto Ste 108
Mill Valley
, California 94941-2934
(415) 383-5904
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Georgia L Pung
- 910 Alturas Way
- Mill Valley, CA
- Zip : 94941-4140
- Phone : (415) 383-5904
Second Address
- Dr. Georgia L Pung
- 61 Camino Alto Ste 108
- Mill Valley, CA
- Zip : 94941-2934
- Fax : (415) 388-7136
- Phone : (415) 388-6303
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Is Dr. Georgia L Pung a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | G062572 | CA |
National Provider Identifier
| NPI | 1003103714 |
|---|---|
| Provider Name | Dr. Georgia L Pung |
| First Address | Mill Valley, CA 94941-4140 |
| Second Address | Mill Valley, CA 94941-2934 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2011 |
| Last Update Date | 01/07/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.