Individual
DUY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(833) 574-2273
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A20750
CA
208M00000X
Hospitalist Physician
Primary
20A20750
CA
Other
Enumeration date
04/09/2020
Last updated
03/08/2024
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