Organization
CONG T. PHAN M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONG T. PHAN M.D. (PRESIDENT)
(909) 941-4777
Entity
Organization
Contact information
Practice address
8235 ROCHESTER AVE STE 110, RANCHO CUCAMONGA, CA 91730-0719
(909) 484-4900
(909) 781-2949
Mailing address
9303 JASMINE AVE, FOUNTAIN VALLEY, CA 92708-1960
(909) 941-4777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
CA
Other
Enumeration date
10/02/2013
Last updated
09/25/2024
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