Individual
DR. DOUGLAS H. PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
769 W BLAINE ST, SUITE B, RIVERSIDE, CA 92507-3970
(951) 358-4705
Mailing address
769 W BLAINE ST, SUITE B, RIVERSIDE, CA 92507-3970
(951) 358-4705
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A114481
CA
Other
Enumeration date
07/02/2009
Last updated
10/20/2016
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