Phancao, Jean-Pierre

Phancao, Jean-Pierre is an individual health care provider with primary practice located at 500 Redwood Blvd Ste 300 , Novato CA 94947-6921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Phancao, Jean-Pierre can be contacted via phone (415) 464-8081.

Contact Information

Primary practice address
500 Redwood Blvd Ste 300 Novato CA 94947-6921
Phone: (415) 464-8081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A97938 California

Profile Details

NPI number 1215054416
LBN Legal business name Phancao, Jean-Pierre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jun 20th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215054416 NPPES
California MEDICAID 00A979380
California MEDICAID 0185469
California Other P00480244

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