Cong T. Phan M.d., Inc.

NPI 1114354396 - Internal Medicine - 207R00000X

NPI Details
NPI 1114354396
Enumeration Date 10/02/2013
Last Updated 10/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CONG T. CONG
Position PRESIDENT
Phone (909) 941-4777
Fax
Practice Location
9333 BASELINE RD
STE. 150
RANCHO CUCAMONGA CA, 91730-1350, US
Phone (909) 941-4777
Fax
Business Location
9303 JASMINE AVE
FOUNTAIN VALLEY CA, 92708-1960, US
Phone (909) 941-4777
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Cong T. Phan M.d., Inc. NPI is 1114354396, taxonomy code is 207R00000X Cong T. Phan M.d., Inc. physically located at 9333 Baseline Rd, Rancho Cucamonga CA, 91730-1350. NPI Number 1033115704 has the healthcare provider type.

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1114354396 NPI number is provided on an as is basis without warranty of any kind. 1114354396 is maintained by the National Plan & Provider Enumeration System. The contents of Cong T. Phan M.d., Inc. are for informational purposes only.