Derek Q Phan Md Medical Corporation

LBN: Derek Q Phan Md Medical Corporation
Derek Q Phan Md Medical Corporation is an health care organization with primary practice located at 800 S Main St , Corona CA 92882-3420. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is the primary health care specialty. Derek Q Phan Md Medical Corporation can be contacted via phone (213) 569-1450, or through Phan, Derek Q via phone (951) 324-3157.

Contact Information

Primary practice address
800 S Main St Corona CA 92882-3420
Phone: (213) 569-1450
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phan, Derek Q Doctor of Medicine (MD)
Phone: (951) 324-3157

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X

Profile Details

NPI number 1851075907
LBN Legal business name Derek Q Phan Md Medical Corporation
DBA Doing business as
Authorized official Phan, Derek Q Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2023
Last updated Jun 9th, 2023 - about 2 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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