Phan, Peter Binh

Phan, Peter Binh is an individual health care provider with primary practice located at 16229 S Western Ave Ste 2 , Gardena CA 90247. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Phan, Peter Binh can be contacted via phone (408) 256-3435.

Contact Information

Primary practice address
16229 S Western Ave Ste 2 Gardena CA 90247
Phone: (408) 256-3435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 54722 California

Profile Details

NPI number 1558496174
LBN Legal business name Phan, Peter Binh
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Mar 7th, 2023 - about 2 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 1558496174 NPPES
California Other 54722 CA DMD LICENSE

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