Steve Phan
Specialist in Panorama City, CA. Individual provider (NPI-1).
NPI number1508316613
StatusActive
Last updated in NPPESOct 12, 2016
Details
- NPI
- 1508316613
- Entity type
- Individual (NPI-1)
- Name
- Steve Phan
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2016
- Last updated
- Oct 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | RPH66670 | CA | Yes |
Practice location
8407 Sparton AvePanorama City, CA 91402-4031
Phone 818-461-4524
Mailing address
8407 Sparton AvePanorama City, CA 91402-4031
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All 10 Specialist providers in Panorama City · All 1,812 providers in Panorama City
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