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Contact Information

KUNTHY PRUM, MD
1082 REDONDO AVE
LONG BEACH, CA90804
 Phone: 562-434-4457
 Fax: 562-434-4458
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for KUNTHY PRUM · (Male)

NPI # 1760582738
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A39667
  • CA Medicaid 00A396670
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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