Organization
DEREK TRUONG PHAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK PHAN MD (OWNER)
(714) 383-1661
Entity
Organization
Contact information
Practice address
9191 BOLSA AVE, SUITE 205, WESTMINSTER, CA 92683-5564
(714) 891-7035
(714) 897-8304
Mailing address
9191 BOLSA AVE, SUITE 205, WESTMINSTER, CA 92683-5564
(714) 891-7035
(714) 897-8304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A99908
CA
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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