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Derek Truong Phan MD INC

Internal Medicine in Westminster, CA. Organization (NPI-2).

NPI number1598091837
StatusActive
Last updated in NPPESOct 21, 2009

Details

NPI
1598091837
Entity type
Organization (NPI-2)
Legal business name
Derek Truong Phan MD INC
Organization subpart
No
Enumeration date
Oct 21, 2009
Last updated
Oct 21, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA99908CAYes

Practice location

9191 Bolsa Ave
Suite 205
Westminster, CA 92683-5564

Phone 714-891-7035 · Fax 714-897-8304

Mailing address

9191 Bolsa Ave
Suite 205
Westminster, CA 92683-5564

Phone 714-891-7035 · Fax 714-897-8304

Authorized official

Derek Phan
Owner
7143831661

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in Westminster, CA

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