Phelan, Jeffrey P

Phelan, Jeffrey P is an individual health care provider with primary practice located at 1135 S Sunset Ave Ste 402, West Covina CA 91790-3937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Phelan, Jeffrey P can be contacted via phone (626) 337-4425.

Contact Information

Primary practice address
1135 S Sunset Ave Ste 402 West Covina CA 91790-3937
Phone: (626) 337-4425
Fax: (626) 337-4305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X G44399 California

Profile Details

NPI number 1912096223
LBN Legal business name Phelan, Jeffrey P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Apr 9th, 2008 - about 16 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 1912096223 NPPES
California MEDICAID 00G443990

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