Individual
ALLAN QUANG-LAM PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 UCLA MEDICAL PLZ STE B200, LOS ANGELES, CA 90095-1438
(310) 794-1195
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A181207
CA
2084V0102X
Vascular Neurology Physician
A181207
CA
Other
Enumeration date
04/01/2019
Last updated
03/03/2025
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