Phan, Anthony Van

Phan, Anthony Van is an sole proprietor health care provider with primary practice located at 4000 W Metropolitan Dr # 120 , Orange CA 92868-3504. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Phan, Anthony Van can be contacted via phone (714) 972-3700.

Contact Information

Primary practice address
4000 W Metropolitan Dr # 120 Orange CA 92868-3504
Phone: (714) 972-3700
Fax: (714) 972-3744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 113233 California

Profile Details

NPI number 1437495900
LBN Legal business name Phan, Anthony Van
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2013
Last updated Apr 23rd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437495900 NPPES
California Other 113233 BOARD OF BEHAVIORAL SCIENCE

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