Aivi Phung
Medical Specialty
Professional ID
- NPI: 1639528110
- PECOS ID: 6709166283
- Enrollment ID: I20161130000533
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2016
Hospital Service
- Hospital CCN1: 050100
- Business Name (LBN)1: Sharp Memorial Hospital
Medical Practices
- Organization Name: Southern California Emergency Medicine
- Group Practice ID assigned by PECOS: 8628128196
- Number of Group Practice member: 33
Location
- Address1: 27640 Eucalyptus Ave
- Address2: Suite 4
- City: Moreno Valley
- State: California
- Zip Code: 92555
- Phone Number: (909)797-8900
Location
- Address1: 33494 Oak Glen Rd
- Address2:
- City: Yucaipa
- State: California
- Zip Code: 92399
- Phone Number: (909)797-8900
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):