| Thu Phan, MSN, AGNP-C | |
|
9333 Imperial Hwy, Downey, CA 90242-2812 | |
| (800) 823-4040 | |
| Not Available |
| Full Name | Thu Phan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 9333 Imperial Hwy, Downey, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245779016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 95006018 (California) | Primary |
| 163WM0705X | Registered Nurse - Medical-surgical | 803544 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St. Jude Medical Center | Fullerton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oc Geropsychiatric Medical Group | 0648711168 | 5 |
| Entity Name | Hgrt Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801363858 PECOS PAC ID: 8921344193 Enrollment ID: O20190108004052 |
| Entity Name | Oc Geropsychiatric Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548003015 PECOS PAC ID: 0648711168 Enrollment ID: O20240924001100 |
| Entity Name | Mind Space Mental Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720800667 PECOS PAC ID: 8527597285 Enrollment ID: O20250124000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Thu Phan, MSN, AGNP-C 9333 Imperial Hwy, Downey, CA 90242-2812 Ph: Not Available | Thu Phan, MSN, AGNP-C 9333 Imperial Hwy, Downey, CA 90242-2812 Ph: (800) 823-4040 |
Laura Karina Lopez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7136 Nada St, Downey, CA 90242 Phone: 562-879-3100 |
Tyler Lee Griffin, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7803 Puritan St, Downey, CA 90242 Phone: 562-413-8237 |
Maria Carla Gong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8311 Florence Ave, Downey, CA 90240 Phone: 702-579-3203 |
Nadia Lopez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12115 Paramount Blvd, Downey, CA 90242 Phone: 310-294-9027 |
Mr. Matthew Edward Estrada, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10000 Imperial Hwy Apt E312, Downey, CA 90242 Phone: 323-697-4317 |
Mrs. Martha Hernandez Romero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-401-7952 Fax: 562-401-6051 |
Mrs. Jardine Maerlyn Cordero-pagunsan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7601 East Imperial Highway, Downey, CA 90242 Phone: 562-401-6828 |