institution
T Mai Phan Md Inc
Clinic/Center in Westminster, California
NPI 1275835688

T Mai Phan Md Inc is a Clinic/Center based in Westminster, CA. T Mai Phan Md Inc practices in Westminster, CA. The NPI Number for T Mai Phan Md Inc is 1275835688 and holds a License No. (California).

The current practice location address for T Mai Phan Md Inc is 9500 Bolsa Ave, Westminster, CA and can be reached out via phone at 714-775-4400 and via fax at 714-775-0149.

Location: 9500 Bolsa Ave, Westminster, CA, 92683-5943
institution
Provider Profile Details
NPI Number
1275835688
Provider Name
T Mai Phan Md Inc
Credential
Provider Entity Type
Organization
Address
9500 Bolsa Ave, Westminster, CA, 92683-5943
Phone Number
714-775-4400
Fax Number
714-775-0149
Provider Enumeration Date
11/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G576702 05 CA
00G576701 05 CA
institution
Provider Business Practice Location Address Details
Address
9500 Bolsa Ave
City
State
Zip
92683-5943
Phone Number
714-775-4400
Fax Number
714-775-0149
person
Provider Business Mailing Address Details
Address
9500 Bolsa Ave
City
State
Zip
92683-5943
Phone Number
714-775-4400
Fax Number
714-775-0149
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
(California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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