Dr Dana Y Phan, OD | |
8951 Knott Ave Ste K, Buena Park, CA 90620-4108 | |
(714) 797-1896 | |
Not Available |
Full Name | Dr Dana Y Phan |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 8951 Knott Ave Ste K, Buena Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144416793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 12488T (California) | Primary |
Provider Name | Dana Y Phan Od Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790117331 PECOS PAC ID: 3173850385 Enrollment ID: O20190812001092 |
Mailing Address | Practice Location Address |
---|---|
Dr Dana Y Phan, OD 8951 Knott Ave Ste K, Buena Park, CA 90620-4108 Ph: (714) 797-1896 | Dr Dana Y Phan, OD 8951 Knott Ave Ste K, Buena Park, CA 90620-4108 Ph: (714) 797-1896 |
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