Individual
DR. TUYET-MAI M. PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9500 BOLSA AVE, STE P, WESTMINSTER, CA 92683-5943
(714) 775-4400
(714) 775-0149
Mailing address
10681 BOLSA AVE, GARDEN GROVE, CA 92843-5270
(714) 775-4400
(714) 775-0149
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G57670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G576702
—
CA
Enumeration date
07/25/2006
Last updated
01/27/2021
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