Phan, My Phuong Thi

Phan, My Phuong Thi is an individual health care provider with primary practice located at 101 The City Dr S Bldg 25 , Orange CA 92868-3201. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Phan, My Phuong Thi can be contacted via phone (714) 719-1136.

Contact Information

Primary practice address
101 The City Dr S Bldg 25 Orange CA 92868-3201
Phone: (714) 719-1136
Fax: (714) 456-2890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 785271 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95008855 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95008855 California

Profile Details

NPI number 1659878882
LBN Legal business name Phan, My Phuong Thi
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2018
Last updated Mar 11th, 2024 - about last year

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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