Individual
DR. JOSEPH TRI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 LINCOLN BLVD, MARINA DEL REY, CA 90292-6306
(310) 823-8911
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G158474
CA
208M00000X
Hospitalist Physician
64717
GA
208M00000X
Hospitalist Physician
Primary
G158474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003114299A
—
GA
Enumeration date
06/18/2006
Last updated
06/20/2022
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