Individual
DR. DEREK T PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9191 BOLSA AVE STE 205, WESTMINSTER, CA 92683-5561
(714) 891-7035
Mailing address
9191 BOLSA AVE STE 205, WESTMINSTER, CA 92683-5561
(714) 891-7035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A99908
CA
Other
Enumeration date
05/14/2007
Last updated
10/07/2009
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