| Gia-hung Phan Dc Inc. | |
|
2470 Alvin Ave Ste 30b San Jose CA 95121-1664 | |
| (408) 217-9736 | |
| (408) 217-9736 |
| Full Name | Gia-hung Phan Dc Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2470 Alvin Ave Ste 30b, San Jose, California |
| Authorized Official Name and Position | Gia-hung Long Phan (DIRECTOR/OWNER) |
| Authorized Official Contact | 6694009313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gia-hung Phan Dc Inc. 2470 Alvin Ave Ste 30b San Jose CA 95121-1664 Ph: (408) 217-9736 | Gia-hung Phan Dc Inc. 2470 Alvin Ave Ste 30b San Jose CA 95121-1664 Ph: (408) 217-9736 |
| NPI Number | 1437922325 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Medicare PECOS PAC ID | 5193108330 |
|---|---|
| Medicare Enrollment ID | O20240223001690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437922325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gia Hung Long G Phan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841288842 PECOS PAC ID: 5395908842 Enrollment ID: I20120518000589 |
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