Individual
DR. CHINH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2279 45TH ST, SACRAMENTO, CA 95817-1514
(916) 734-5959
Mailing address
2279 45TH ST, SACRAMENTO, CA 95817-1514
(916) 734-5959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A11954
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
20A11954
CA
207RP1001X
Pulmonary Disease Physician
20A11954
CA
Other
Enumeration date
06/03/2009
Last updated
09/19/2018
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