Individual
MELANIE NGOCHAN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7515 VAN NUYS BLVD, VAN NUYS, CA 91405-1949
(818) 947-4079
Mailing address
7515 VAN NUYS BLVD, VAN NUYS, CA 91405-1949
(818) 947-4079
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
A82302
CA
Other
Enumeration date
08/08/2006
Last updated
01/04/2012
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