| Van Thuan Phat | |
|
825 E Anaheim St Long Beach CA 90813-3550 | |
| (562) 599-5795 | |
| (562) 599-5795 |
| Full Name | Van Thuan Phat |
|---|---|
| Speciality | Clinic/center |
| Location | 825 E Anaheim St, Long Beach, California |
| Authorized Official Name and Position | Guoyuan Qin (DOCTOR/PHD) |
| Authorized Official Contact | 6263771353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Thuan Phat 825 E Anaheim St Long Beach CA 90813-3550 Ph: (562) 599-5795 | Van Thuan Phat 825 E Anaheim St Long Beach CA 90813-3550 Ph: (562) 599-5795 |
| NPI Number | 1962642892 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 03/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962642892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AC 11575 (California) | Primary |
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