Individual
DR. JEFFREY P PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1135 S SUNSET AVE, STE 402, WEST COVINA, CA 91790-3937
(626) 337-4425
(626) 337-4305
Mailing address
1135 S SUNSET AVE, STE 402, WEST COVINA, CA 91790-3937
(626) 337-4425
(626) 337-4305
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G44399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G443990
—
CA
Enumeration date
10/12/2006
Last updated
04/09/2008
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