Van, John Phu
Van, John Phu is an sole proprietor health care provider with primary practice located at 12555 Garden Grove Blvd Suite 308, Garden Grove CA 92843-1902. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Van, John Phu can be contacted via phone (714) 534-1434.Contact Information
Primary practice address
12555 Garden Grove Blvd Suite 308
Garden Grove CA 92843-1902
Phone: (714) 534-1434
Fax: (714) 242-1777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 36333 | California |
Profile Details
| NPI number | 1801881743 |
|---|---|
| LBN Legal business name | Van, John Phu |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Oct 25th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801881743 | NPPES |
| California | MEDICAID | B36333-02 |
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