| Ngo Phan Md Inc | |
|
330 S Garfield Ave Ste 268 Alhambra CA 91801-3892 | |
| (626) 281-3265 | |
| (626) 281-3267 |
| Full Name | Ngo Phan Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 S Garfield Ave, Alhambra, California |
| Authorized Official Name and Position | Ngo Phan (PRESIDENT & CEO) |
| Authorized Official Contact | 6262813265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ngo Phan Md Inc 330 S Garfield Ave Ste 268 Alhambra CA 91801-3892 Ph: (626) 281-3265 | Ngo Phan Md Inc 330 S Garfield Ave Ste 268 Alhambra CA 91801-3892 Ph: (626) 281-3265 |
| NPI Number | 1952663114 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 06/13/2012 |
| Medicare PECOS PAC ID | 0042460065 |
|---|---|
| Medicare Enrollment ID | O20121026000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952663114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A6044 (California) | Primary |
| Provider Name | Ngo C Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043269145 PECOS PAC ID: 4486628435 Enrollment ID: I20040824001462 |
| Provider Name | Christina Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770830499 PECOS PAC ID: 2769634849 Enrollment ID: I20121219000109 |
| Provider Name | Andrew S Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568787216 PECOS PAC ID: 7719139757 Enrollment ID: I20121220000206 |
| Provider Name | Susan Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124426127 PECOS PAC ID: 1557684966 Enrollment ID: I20141216000168 |
| Provider Name | Jessica Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003299033 PECOS PAC ID: 8527377431 Enrollment ID: I20151015001624 |
| Provider Name | Paveena Rungruangbangchan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225400146 PECOS PAC ID: 2466753181 Enrollment ID: I20151222000504 |
| Provider Name | Zhiguo Jacob Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730553884 PECOS PAC ID: 4284933011 Enrollment ID: I20160429000917 |
| Provider Name | Weizhen Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679131874 PECOS PAC ID: 3678809217 Enrollment ID: I20190719001647 |
| Provider Name | Richard Saavedra Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548936602 PECOS PAC ID: 0749687788 Enrollment ID: I20210917002541 |
| Provider Name | Thanh Le Hoai Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518572007 PECOS PAC ID: 7911399316 Enrollment ID: I20220114001595 |
| Provider Name | Lizette Cabral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467067447 PECOS PAC ID: 4880068600 Enrollment ID: I20230317002443 |
| Provider Name | Jackeline Tekin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033993597 PECOS PAC ID: 1951745942 Enrollment ID: I20240613001842 |
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