Phan, Laura T
Phan, Laura T is an sole proprietor health care provider with primary practice located at 15055 Los Gatos Blvd Suite 320, Los Gatos CA 95032-2083. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is her primary health care specialty. Phan, Laura T can be contacted via phone (650) 587-5000.Contact Information
Primary practice address
15055 Los Gatos Blvd Suite 320
Los Gatos CA 95032-2083
Phone: (650) 587-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D72821 | Maryland |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301097337 | Michigan |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A126463 | California |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | A126463 | California |
Profile Details
| NPI number | 1538366984 |
|---|---|
| LBN Legal business name | Phan, Laura T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Jul 17th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538366984 | NPPES |
| Maryland | MEDICAID | 047445200 |
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