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Mason Hieu Phan
Diagnostic Radiology Physician in Loma Linda, California
NPI 1639757032

Mason Hieu Phan is a Diagnostic Radiology Physician based in Loma Linda, CA and is specialized in Diagnostic Radiology. Mason Hieu Phan practices in Loma Linda, CA. The NPI Number for Mason Hieu Phan is 1639757032 and holds a License No. (California).

The current practice location address for Mason Hieu Phan is 11234 Anderson Street, Loma Linda, CA and can be reached out via phone at 909-558-4000.

Location: 11234 Anderson Street, Loma Linda, CA, 92354-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639757032
Provider Name
Mason Hieu Phan
Credential
Provider Entity Type
Individual
Gender
Male
Address
11234 Anderson Street, Loma Linda, CA, 92354-2804
Phone Number
909-558-4000
Fax Number
Provider Enumeration Date
03/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson Street
City
Loma Linda
State
California
Zip
92354
Phone Number
909-558-4000
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson Street
City
Loma Linda
State
California
Zip
92354
Phone Number
909-558-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
A182123 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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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