Individual
CHRISTINE Q PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
225 E 2ND AVE, ESCONDIDO, CA 92025-4212
(760) 291-6700
(760) 737-7324
Mailing address
6356 HUNTINGTON DR, CARLSBAD, CA 92009-3080
(760) 291-6700
(760) 737-7324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A7985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020A79850
BLUE SHIELD
CA
Enumeration date
07/18/2006
Last updated
07/08/2007
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