Huy Phan

NPI 1013108794 - Family Medicine - 207Q00000X

NPI Details
NPI 1013108794
Gender Male
Enumeration Date 08/07/2007
Last Updated 11/05/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
9961 SIERRA AVE
FONTANA CA, 92335-6720, US
Phone (909) 427-5000
Fax
Business Location
9961 SIERRA AVE
FONTANA CA, 92335-6720, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A99726
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According to our database, Huy Phan NPI is 1013108794, taxonomy code is 207Q00000X and license number is A99726, license state is located at California. Huy Phan physically located at 9961 Sierra Ave, Fontana CA, 92335-6720. NPI Number Huy Phan has the Individual type.

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1013108794 NPI number is provided on an as is basis without warranty of any kind. 1013108794 is maintained by the National Plan & Provider Enumeration System. The contents of Huy Phan are for informational purposes only.