Individual provider · Type 1 NPI

Thethong P. Thepvong, EMT

Emergency Medical Services (Emergency Medicine) Physician · Fresno, CA

NPI number 1619576576 Active

Practice location

900 W Belgravia Ave
Fresno, CA 93706-3909

Mailing address

1115 E Goshen Ave
Fresno, CA 93720-2621

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XE119251 (CA)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1619576576

Thethong P. Thepvong, EMT's National Provider Identifier is 1619576576, issued on Oct 21, 2020. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Fresno, CA. The record was last updated on Oct 21, 2020.