Individual
CHI KIM PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-6900
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-6900
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
21781
CA
Other
Enumeration date
02/15/2013
Last updated
10/05/2022
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