Phillips, Vicky L

Phillips, Vicky L is an individual health care provider with primary practice located at 800 S Barranca Ave , Covina CA 91723-3625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Phillips, Vicky L can be contacted via phone (626) 732-8250.

Contact Information

Primary practice address
800 S Barranca Ave Covina CA 91723-3625
Phone: (626) 732-8250
Fax: (626) 858-8474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G47905 California

Profile Details

NPI number 1114016698
LBN Legal business name Phillips, Vicky L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 16th, 2014 - about 12 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 1114016698 NPPES
California MEDICAID 00G479050

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