Phan, Mai Tuyet
Phan, Mai Tuyet is an sole proprietor health care provider with primary practice located at 18625 Sherman Way Suite #104, Reseda CA 91335-4148. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Phan, Mai Tuyet can be contacted via phone (818) 342-8171.Contact Information
Primary practice address
18625 Sherman Way Suite #104
Reseda CA 91335-4148
Phone: (818) 342-8171
Fax: (818) 342-8173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A051466 | California |
Profile Details
| NPI number | 1306879283 |
|---|---|
| LBN Legal business name | Phan, Mai Tuyet |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306879283 | NPPES |
| California | MEDICAID | 00A514660 |
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