Individual
PHILLIP ANH TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
790 E WILLOW ST, 200, LONG BEACH, CA 90806-2718
(562) 528-0800
Mailing address
PO BOX 52791, IRVINE, CA 92619-2791
(951) 310-8232
(951) 688-1432
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A143914
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2015
Last updated
09/25/2025
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