Dr Gia-hung L Phan, DC | |
2470 Alvin Ave Ste 30b, San Jose, CA 95121-1664 | |
(408) 217-9736 | |
(408) 217-9772 |
Full Name | Dr Gia-hung L Phan |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 2470 Alvin Ave Ste 30b, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841288842 | NPI | - | NPPES |
1841288842 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 29087 (California) | Primary |
Provider Name | Gia-hung Phan Dc Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437922325 PECOS PAC ID: 5193108330 Enrollment ID: O20240223001690 |
Mailing Address | Practice Location Address |
---|---|
Dr Gia-hung L Phan, DC 2470 Alvin Ave Ste 30b, San Jose, CA 95121-1664 Ph: (408) 217-9736 | Dr Gia-hung L Phan, DC 2470 Alvin Ave Ste 30b, San Jose, CA 95121-1664 Ph: (408) 217-9736 |
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