Dr Jimmy Ninh Hoang Phan, MD | |
425 Diamond Dr Ste 103, Lake Elsinore, CA 92530-4495 | |
(951) 981-3122 | |
(951) 981-3123 |
Full Name | Dr Jimmy Ninh Hoang Phan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 425 Diamond Dr Ste 103, Lake Elsinore, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770928962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 141765 (California) | Primary |
Mailing Address | Practice Location Address |
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Dr Jimmy Ninh Hoang Phan, MD 425 Diamond Dr Ste 103, Lake Elsinore, CA 92530-4495 Ph: (951) 981-3122 | Dr Jimmy Ninh Hoang Phan, MD 425 Diamond Dr Ste 103, Lake Elsinore, CA 92530-4495 Ph: (951) 981-3122 |
Mr. Houssam Fayad, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 31569 Canyon Estates Dr Ste 225, Lake Elsinore, CA 92532 Phone: 951-228-9010 Fax: 951-609-2080 | |
Mohammad Imandoust, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3762 Mission Trail Suite F, Lake Elsinore, CA 92530 Phone: 951-674-5686 Fax: 951-674-4707 | |
Mrs. Latiffah Abdullah Mcginness, MD FAAP MBBS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 32299 Wildomar Road, Lake Elsinore, CA 92530 Phone: 951-471-0042 Fax: 951-471-0422 |