T Mai Phan Md Inc

NPI 1275835688 - Clinic/Center - 261Q00000X

NPI Details
NPI 1275835688
Enumeration Date 11/18/2010
Last Updated 11/18/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TUYET-MAI TUYET-MAI
Position PRESIDENT
Phone (714) 775-4400
Fax (714) 775-0149
Practice Location
9500 BOLSA AVE
SUITE P
WESTMINSTER CA, 92683-5943, US
Phone (714) 775-4400
Fax (714) 775-0149
Business Location
9500 BOLSA AVE
SUITE P
WESTMINSTER CA, 92683-5943, US
Phone (714) 775-4400
Fax (714) 775-0149
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, T Mai Phan Md Inc NPI is 1275835688, taxonomy code is 261Q00000X T Mai Phan Md Inc physically located at 9500 Bolsa Ave, Westminster CA, 92683-5943. NPI Number 1033115704 has the healthcare provider type.

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1275835688 NPI number is provided on an as is basis without warranty of any kind. 1275835688 is maintained by the National Plan & Provider Enumeration System. The contents of T Mai Phan Md Inc are for informational purposes only.