Individual
DR. TRENT VAN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2301 BAHAMAS DR, BAKERSFIELD, CA 93309-0663
(661) 326-9600
Mailing address
2301 BAHAMAS DR, BAKERSFIELD, CA 93309-0663
(661) 326-9600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2007008859
MO
2085R0202X
Diagnostic Radiology Physician
20A 12034
CA
2085R0204X
Vascular & Interventional Radiology Physician
2007008859
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
20A12034
CA
Other
Enumeration date
07/20/2006
Last updated
01/10/2025
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