Van, John Phu

Van, John Phu is an sole proprietor health care provider with primary practice located at 12555 Garden Grove Blvd Suite 308, Garden Grove CA 92843-1902. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Van, John Phu can be contacted via phone (714) 534-1434.

Contact Information

Primary practice address
12555 Garden Grove Blvd Suite 308 Garden Grove CA 92843-1902
Fax: (714) 242-1777
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 36333 California

Profile Details

NPI number 1801881743
LBN Legal business name Van, John Phu
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Oct 25th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801881743 NPPES
California MEDICAID B36333-02

Popular Providers