Individual
DR. THAIBINH TRAN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10691 WESTMINSTER AVE # 100, GARDEN GROVE, CA 92843-4911
(714) 539-4900
(714) 539-4902
Mailing address
9906 DANDELION AVE, FOUNTAIN VALLEY, CA 92708-2030
(714) 539-4900
(714) 539-4902
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A115702
CA
Other
Enumeration date
07/01/2008
Last updated
09/26/2024
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