KUNTHY PRUM MD
NPI 1760582738
General Practice in Long Beach, CA

Q: What is Kunthy Prum's NPI number?

The NPI number for Kunthy Prum is 1760582738. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is Kunthy Prum's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kunthy Prum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 22, 2006PECOS Enrolled

1082 REDONDO AVE, LONG BEACH, CA 90804(562) 434-4457(562) 434-4458 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kunthy Prum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KUNTHY PRUM MD (NPI 1760582738) is an individual general practice provider in Long Beach, California, licensed in California (A39667) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760582738

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameKUNTHY PRUMCredential: MD

Location Address1082 REDONDO AVELong Beach, CA 90804

Mailing Address1082 Redondo AveLong Beach, CA 90804 · (562) 434-4457 · Fax (562) 434-4458

Phone(562) 434-4457

Fax(562) 434-4458

Sole ProprietorNo

Enumeration DateSeptember 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1760582738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A39667

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1082 REDONDO AVE, Long Beach, CA 90804

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Other Identifiers 3

Medicaid00A396670CA

Medicare UPINC35507

Medicare ID-Type UnspecifiedA39667

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kunthy Prum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kunthy Prum's NPI number?

The NPI number for Kunthy Prum is 1760582738. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Kunthy Prum located?

Kunthy Prum practices at 1082 Redondo Ave, Long Beach, CA 90804. The listed phone number is (562) 434-4457.

What is Kunthy Prum's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kunthy Prum enrolled in Medicare?

Yes. Kunthy Prum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kunthy Prum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.