Dr. Jimmy Phan Medical Corporation

LBN: Dr. Jimmy Phan Medical Corporation
Dr. Jimmy Phan Medical Corporation is an health care organization with primary practice located at 425 Diamond Dr Ste 103 , Lake Elsinore CA 92530-4495. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Dr. Jimmy Phan Medical Corporation can be contacted via phone (951) 981-3122, or through Phan, Jimmy Ninh Hoang via phone (714) 232-9493.

Contact Information

Primary practice address
425 Diamond Dr Ste 103 Lake Elsinore CA 92530-4495
Phone: (951) 981-3122
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phan, Jimmy Ninh Hoang Doctor of Medicine (MD)
Phone: (714) 232-9493

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1144989385
LBN Legal business name Dr. Jimmy Phan Medical Corporation
DBA Doing business as
Authorized official Phan, Jimmy Ninh Hoang Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2021
Last updated Jan 27th, 2022 - about 3 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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