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Theodore Thien Phan
Physician Assistant in Novato, California
NPI 1104546969

Theodore Thien Phan is a Physician Assistant based in Novato, CA. Theodore Thien Phan practices in Novato, CA. The NPI Number for Theodore Thien Phan is 1104546969 and holds a License No. (California).

The current practice location address for Theodore Thien Phan is 52 Trinity Dr, Novato, CA and can be reached out via phone at 415-320-2313.

Location: 52 Trinity Dr, Novato, CA, 94947-5246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104546969
Provider Name
Theodore Thien Phan
Credential
Provider Entity Type
Individual
Gender
Male
Address
52 Trinity Dr, Novato, CA, 94947-5246
Phone Number
415-320-2313
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
52 Trinity Dr
City
Novato
State
California
Zip
94947-5246
Phone Number
415-320-2313
Fax Number
person
Provider Business Mailing Address Details
Address
52 Trinity Dr
City
Novato
State
California
Zip
94947-5246
Phone Number
415-320-2313
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
61808 (California)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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