Organization
V. PHAN OPTOMETRIC PROF CORP
Active
Other names
Placentia Family Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
VAN PHAN O.D (OPTOMETRIST)
(714) 234-3080
Entity
Organization
Contact information
Practice address
1525 N PLACENTIA AVE, UNIT A, PLACENTIA, CA 92870-2334
(714) 792-3619
(714) 792-3603
Mailing address
949 W MERCED TRAIL ROAD, ORANGE, CA 92865
(714) 234-3080
(714) 792-3603
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
13193 T
CA
Other
Enumeration date
06/09/2014
Last updated
07/23/2014
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