Provider Demographics
NPI:1790204931
Name:DUNG, PUI KING
Entity Type:Individual
Prefix:
First Name:PUI KING
Middle Name:
Last Name:DUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W GARVEY AVE # B73
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-7430
Mailing Address - Country:US
Mailing Address - Phone:626-265-7100
Mailing Address - Fax:
Practice Address - Street 1:333 W GARVEY AVE # B73
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7430
Practice Address - Country:US
Practice Address - Phone:626-265-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240655164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse