Phan, Phung Ngoc

Phan, Phung Ngoc is an individual health care provider with primary practice located at 1596 W Minerva Ave , Anaheim CA 92802-1624. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Phan, Phung Ngoc can be contacted via phone (714) 675-5925.

Contact Information

Primary practice address
1596 W Minerva Ave Anaheim CA 92802-1624
Phone: (714) 675-5925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95044332 California
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 95044332 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP95017548 California

Profile Details

NPI number 1487152534
LBN Legal business name Phan, Phung Ngoc
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2018
Last updated Sep 10th, 2021 - about 5 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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