Phan, Anthony Thong

Phan, Anthony Thong is an individual health care provider with primary practice located at 1189 Swallow Ln Ste 110 , Simi Valley CA 93065-3157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Phan, Anthony Thong can be contacted via phone (805) 526-3213.

Contact Information

Primary practice address
1189 Swallow Ln Ste 110 Simi Valley CA 93065-3157
Phone: (805) 526-3213
Fax: (805) 583-5929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G83470 California

Profile Details

NPI number 1124207006
LBN Legal business name Phan, Anthony Thong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Aug 21st, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124207006 NPPES
California Other 00G834700 MEDICAL PROVIDER NUMBER
California Other O5D0989497 MEDICAL PROVIDER NUMBER

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