| Tuan Van Phan M.D., Inc. | |
|
1569 Lexann Ave Ste 120 San Jose CA 95121-1794 | |
| (408) 270-4267 | |
| (408) 270-3594 |
| Full Name | Tuan Van Phan M.D., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1569 Lexann Ave Ste 120, San Jose, California |
| Authorized Official Name and Position | Tuan Van Phan (CEO) |
| Authorized Official Contact | 4082704267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuan Van Phan M.D., Inc. 1569 Lexann Ave Ste 120 San Jose CA 95121-1794 Ph: (408) 270-4267 | Tuan Van Phan M.D., Inc. 1569 Lexann Ave Ste 120 San Jose CA 95121-1794 Ph: (408) 270-4267 |
| NPI Number | 1134379183 |
|---|---|
| Provider Enumeration Date | 09/26/2008 |
| Last Update Date | 06/10/2020 |
| Certification Date | 06/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134379183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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