Organization
CARECONNECTMD OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM PHAN (CEO)
(888) 789-9585
Entity
Organization
Contact information
Practice address
20 S 3RD ST STE 210, COLUMBUS, OH 43215-4206
(888) 789-9585
Mailing address
3090 BRISTOL ST STE 200, COSTA MESA, CA 92626-3061
(888) 789-9585
(562) 803-4500
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
02/09/2024
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