Phan, Jason Thai

Phan, Jason Thai is an individual health care provider with primary practice located at 23451 Madison St Ste 210, Torrance CA 90505-4763. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Phan, Jason Thai can be contacted via phone (310) 378-8342.

Contact Information

Primary practice address
23451 Madison St Ste 210 Torrance CA 90505-4763
Phone: (310) 378-8342
Fax: (310) 378-4672
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 58635 California

Profile Details

NPI number 1619109303
LBN Legal business name Phan, Jason Thai
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2009
Last updated Aug 17th, 2016 - about 8 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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