Phan, Annie

Phan, Annie is an sole proprietor health care provider with primary practice located at 10787 Laurel St , Rancho Cucamonga CA 91730-3828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Phan, Annie can be contacted via phone (909) 982-7741.

Contact Information

Primary practice address
10787 Laurel St Rancho Cucamonga CA 91730-3828
Phone: (909) 982-7741
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1316581416
LBN Legal business name Phan, Annie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2019
Last updated Oct 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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