Tung Phan Md Inc | |
10152 Westminster Ave Garden Grove CA 92843-4754 | |
(714) 530-3939 | |
(714) 530-8388 |
Full Name | Tung Phan Md Inc |
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Speciality | General Practice |
Location | 10152 Westminster Ave, Garden Grove, California |
Authorized Official Name and Position | Tung Thanh Phan (PHYSICIAN) |
Authorized Official Contact | 7145303939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tung Phan Md Inc 10152 Westminster Ave Garden Grove CA 92843-4754 Ph: (714) 530-3939 | Tung Phan Md Inc 10152 Westminster Ave Garden Grove CA 92843-4754 Ph: (714) 530-3939 |
NPI Number | 1518138015 |
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Provider Enumeration Date | 03/12/2008 |
Last Update Date | 03/12/2008 |
Identifier | Type | State | Issuer |
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1518138015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A43113 (California) | Primary |
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