Individual
ANDREW PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3000
Mailing address
4439 MARGERY DR, FREMONT, CA 94538-2609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A21461
CA
Other
Enumeration date
05/11/2021
Last updated
08/08/2024
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