Son Phan

NPI #1972669091 in Orange, California

Provider Information

NPI Number: 1972669091
Entity Type: Individual
Name: Son Phan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Enumeration Date: Jan 1, 2007
Last Updated: Oct 4, 2025

Practice Location

Address: 101 THE CITY DR S
City: Orange
State: California
ZIP Code: 92868-3201
Phone: (714) 456-7890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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