Phillips, Geoffrey B.

Phillips, Geoffrey B. is an individual health care provider with primary practice located at 601 Parkcenter Dr Suite 206, Santa Ana CA 92705-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Phillips, Geoffrey B. can be contacted via phone (714) 453-0688.

Contact Information

Primary practice address
601 Parkcenter Dr Suite 206 Santa Ana CA 92705-3522
Phone: (714) 453-0688
Fax: (714) 453-0691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A81687 California

Profile Details

NPI number 1396745501
LBN Legal business name Phillips, Geoffrey B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jun 18th, 2014 - about 10 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 1396745501 NPPES
California Other 548946 VALUE OPTIONS PIN
California MEDICAID 00A816710 VALUE OPTIONS PIN
California Other 365136 VALUE OPTIONS PIN
California Other 00A816710 VALUE OPTIONS PIN
California Other LICENSE # A81687 VALUE OPTIONS PIN
California Other 7871001 VALUE OPTIONS PIN

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