T Mai Phan Md Inc

LBN: T Mai Phan Md Inc
T Mai Phan Md Inc is an health care organization with primary practice located at 9500 Bolsa Ave Suite P, Westminster CA 92683-5943. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. T Mai Phan Md Inc can be contacted via phone (714) 775-4400, or through Phan, Tuyet-Mai via phone (714) 775-4400.

Contact Information

Primary practice address
9500 Bolsa Ave Suite P Westminster CA 92683-5943
Phone: (714) 775-4400
Fax: (714) 775-0149
Website:
Map and Directions
Authorized official contact:
Name: Phan, Tuyet-Mai Doctor of Medicine (MD)
Phone: (714) 775-4400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X California

Profile Details

NPI number 1275835688
LBN Legal business name T Mai Phan Md Inc
DBA Doing business as
Authorized official Phan, Tuyet-Mai Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2010
Last updated Nov 18th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275835688 NPPES
California MEDICAID 00G576702
California MEDICAID 00G576701

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