Christyn Mai Phan O D Inc

LBN: Christyn Mai Phan O D Inc
Christyn Mai Phan O D Inc is an health care organization with primary practice located at 9862 Chapman Ave Ste A , Garden Grove CA 92841-2726. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Christyn Mai Phan O D Inc can be contacted via phone (714) 636-9200, or through Phan, Christyn Mai via phone (714) 636-9200.

Contact Information

Primary practice address
9862 Chapman Ave Ste A Garden Grove CA 92841-2726
Phone: (714) 636-9200
Fax: (714) 636-9424
Website:
Map and Directions
Authorized official contact:
Name: Phan, Christyn Mai Doctor of Optometry (OD)
Phone: (714) 636-9200

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 12640T California

Profile Details

NPI number 1497823306
LBN Legal business name Christyn Mai Phan O D Inc
DBA Doing business as
Authorized official Phan, Christyn Mai Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Jun 14th, 2021 - about 4 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 1497823306 NPPES
California MEDICAID SD0126400

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