DR. Kimberly Sue Phan, D.O

NPI #1912216987 in Irvine, California

Provider Information

NPI Number: 1912216987
Entity Type: Individual
Name: DR. Kimberly Sue Phan, D.O
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: D.O
Enumeration Date: Sep 24, 2010
Last Updated: Sep 24, 2010

Practice Location

Address: 13662A JAMBOREE RD
City: Irvine
State: California
ZIP Code: 92620-1201
Phone: (714) 508-4972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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