Individual
PHAN THOMAS PEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
836 W 31ST ST, LONG BEACH, CA 90806-1304
(805) 407-3895
Mailing address
836 W 31ST ST, LONG BEACH, CA 90806-1304
(805) 407-3895
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
27470
CA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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