Individual
DR. CU NGOC PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 NEWPORT CENTER DR STE 409, NEWPORT BEACH, CA 92660-7697
(949) 718-4315
(949) 718-4316
Mailing address
400 NEWPORT CENTER DR STE 409, NEWPORT BEACH, CA 92660-7697
(949) 718-4315
(949) 718-4316
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G064457
CA
Other
Enumeration date
01/29/2007
Last updated
11/05/2013
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