Individual
ANN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 490-1222
(510) 498-2871
Mailing address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 490-1222
(510) 498-2871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A20914
CA
Other
Enumeration date
04/08/2020
Last updated
03/18/2024
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