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Individual

MR. HUAN NGOC PHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20269 STEVENS CREEK BLVD, CUPERTINO, CA 95014-2258
(408) 296-0100
(408) 296-1795
Mailing address
20269 STEVENS CREEK BLVD, CUPERTINO, CA 95014-2258
(408) 296-0100
(408) 296-1795

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G77619
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G776190
CA
Enumeration date
08/03/2006
Last updated
07/30/2015
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