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Organization
V. PHAN OPTOMETRIC PROF CORP
Active
Organization
V. PHAN OPTOMETRIC PROF CORP
Active
Other names
Placentia Family Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
VAN PHAN O.D (OPTOMETRIST)
(714) 234-3080
Entity
Organization
Contact information
Practice address
1525 N PLACENTIA AVE, UNIT A, PLACENTIA, CA 92870-2334
(714) 792-3619
(714) 792-3603
Mailing address
949 W MERCED TRAIL ROAD, ORANGE, CA 92865
(714) 234-3080
(714) 792-3603
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
13193 T
CA
Other
Enumeration date
06/09/2014
Last updated
07/23/2014
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