Individual
PETER MINH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 GOLDENRAIN, ALISO VIEJO, CA 92656-2118
(949) 716-0949
(949) 716-1105
Mailing address
9 GOLDENRAIN, ALISO VIEJO, CA 92656-2118
(949) 716-0949
(949) 716-1105
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
2007018365
MO
2085R0202X
Diagnostic Radiology Physician
A91299
CA
Other
Enumeration date
07/04/2007
Last updated
09/16/2009
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