Individual
ANDREW PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 RESPONSE RD, SACRAMENTO, CA 95815-4807
(916) 614-4120
Mailing address
1650 RESPONSE RD, SACRAMENTO, CA 95815-4807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A107482
CA
Other
Enumeration date
05/12/2009
Last updated
02/11/2022
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