Individual
JASON CHANHTRUNG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2000
(661) 862-7684
Mailing address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2000
(661) 862-7684
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A24473
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2024
Last updated
06/23/2026
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