Organization
QUANG Q PHAN, MD, FACP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUANG PHAN MD (PRESIDENT)
(714) 537-5302
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD, SUITE 304, GARDEN GROVE, CA 92843-1901
(714) 537-5302
Mailing address
12665 GARDEN GROVE BLVD, SUITE 304, GARDEN GROVE, CA 92843-1901
(714) 537-5302
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A44365
CA
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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