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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1396799672 | NPPES |
| California | MEDICAID | 00A708080 |
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