Phan, Tuan Van

Phan, Tuan Van is an individual health care provider with primary practice located at 10362 Bolsa Avenue Bolsa Medical Group, Westminster CA 92683-6763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phan, Tuan Van can be contacted via phone (714) 531-2091.

Contact Information

Primary practice address
10362 Bolsa Avenue Bolsa Medical Group Westminster CA 92683-6763
Phone: (714) 531-2091
Fax: (714) 531-1403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A70808 California

Profile Details

NPI number 1396799672
LBN Legal business name Phan, Tuan Van
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Nov 9th, 2021 - about 3 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 1396799672 NPPES
California MEDICAID 00A708080

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