T Mai Phan MD INC
NPI #1275835688 in Westminster, California
Provider Information
- NPI Number
- 1275835688
- Entity Type
- Organization
- Organization Name
- T Mai Phan MD INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 18, 2010
- Last Updated
- Nov 18, 2010
Practice Location
- Address
- 9500 BOLSA AVE
- Address 2
- SUITE P
- City
- Westminster
- State
- California
- ZIP Code
- 92683-5943
- Phone
- (714) 775-4400
Authorized Official
- Name
- DR. TUYET-MAI PHAN, M.D.
- Title
- PRESIDENT
- Phone
- (714) 775-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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