Organization
ADVANCED LASER CENTER
Active
Parent organization
GREGORY HUAN PHAN MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREGORY HUAN PHAN MD
Authorized official
GREGORY HUAN PHAN MD (SOLE PROPRIETOR)
(408) 296-0103
Entity
Organization
Contact information
Practice address
350 S WINCHESTER BLVD, SUITE 250, SAN JOSE, CA 95128-2092
(408) 296-0102
(408) 296-1795
Mailing address
350 S WINCHESTER BLVD, SUITE 250, SAN JOSE, CA 95128-2092
(408) 296-0103
(408) 296-1795
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
G77619
CA
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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