Organization
GIA-HUNG PHAN DC INC.
Active
Other names
Phan Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
GIA-HUNG LONG PHAN DC (DIRECTOR/OWNER)
(669) 400-9313
Entity
Organization
Contact information
Practice address
2470 ALVIN AVE STE 30B, SAN JOSE, CA 95121-1664
(408) 217-9736
(408) 217-9736
Mailing address
2470 ALVIN AVE STE 30B, SAN JOSE, CA 95121-1664
(408) 217-9736
(408) 217-9736
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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