Kieu, Phong

Kieu, Phong is an individual health care provider with primary practice located at 202 W Harvey Ave , Santa Ana CA 92707-4420. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Kieu, Phong can be contacted via phone (714) 507-8008.

Contact Information

Primary practice address
202 W Harvey Ave Santa Ana CA 92707-4420
Phone: (714) 507-8008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95019542 California

Profile Details

NPI number 1295495737
LBN Legal business name Kieu, Phong
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 25th, 2021
Last updated Dec 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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