Individual
MR. DUY LAM PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4760 W SUNSET BLVD FL 1, LOS ANGELES, CA 90027-6063
(323) 783-4011
Mailing address
4760 W SUNSET BLVD FL 1, LOS ANGELES, CA 90027-6063
(323) 783-4011
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A122898
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
036.140184
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2011
Last updated
12/06/2021
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