Individual
HO PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 STOCKTON BLVD, ROOM 4206, SACRAMENTO, CA 95817-2201
(916) 734-7466
Mailing address
2315 STOCKTON BLVD, ROOM 4206, SACRAMENTO, CA 95817-2201
(916) 734-7466
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A77798
CA
2086S0102X
Surgical Critical Care Physician
A77798
CA
2086S0127X
Trauma Surgery Physician
A77798
CA
Other
Enumeration date
01/27/2006
Last updated
04/25/2011
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