Individual
JEANINE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
275 HOSPITAL PKWY, SUITE 325, SAN JOSE, CA 95119-1106
(408) 972-3000
Mailing address
275 HOSPITAL PKWY, SUITE 325, SAN JOSE, CA 95119-1106
(408) 972-3000
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
20A12447
CA
Other
Enumeration date
08/17/2011
Last updated
12/15/2021
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