KIM PHAN DO PC (NPI# 1083211577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083211577 |
| Entity Type | Organization |
| Organization Name | KIM PHAN DO PC |
| Practice Address |
1180 N Indian Canyon Dr Ste E218 Palm Springs CA 92262-4885 |
| Mailing Address |
Po Box 2466 Palm Springs CA 92263-2466 |
| Practice Telephone | 7604164800 |
| Practice Fax Number | 7604164903 |
| Mailing Telephone | 7604164800 |
| Mailing Fax Number | 7604164903 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | MS. KIM M PHAN (OWNER) |
| Authorized Official Telephone | 5024184451 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
1180 N INDIAN CANYON DR STE E218 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-4885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003020413 | George Nicolas Batty | Internal Medicine | 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262-4885 | 2007-05-09 |
| 1982218038 | Soe Maunglay Md Inc | Internal Medicine | 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262-4885 | 2020-09-05 |
| 1831682749 | Irene M Hutchins Md Inc | Clinic/Center | 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262-4885 | 2018-06-14 |
| 1700290723 | Walter J Erhman, Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262-4885 | 2014-06-18 |
| 1639435407 | Irene M. Hutchins | Internal Medicine | 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262-4885 | 2012-04-05 |
| 1295001592 | Kim Minh Phan | Internal Medicine | 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262-4885 | 2012-03-30 |
| 1932396058 | Peter Greenberg, Md Inc | Clinic/Center | 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262-4885 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710307186 | Bucher Hematology/oncology, Inc. | Internal Medicine | 1180 N Indian Canyon Dr, Suite E-218, Palm Springs, CA 92262-4800 | 2014-04-23 |
| 1639435407 | Irene M. Hutchins | Internal Medicine | 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262-4885 | 2012-04-05 |
| 1629395249 | Vijay Kumar Narendran | Internal Medicine | 1630 S Congress Ave, Palm Springs, FL 33461-2171 | 2010-04-21 |
| 1922243591 | Arun K. Kalra, M.d., Inc | Internal Medicine | 1180 N Indian Canyon Dr, E 218, Palm Springs, CA 92262-4800 | 2008-12-10 |
| 1245424365 | Scott David Brook | Internal Medicine | 1180 N Indian Canyon Dr, Suit E-218, Palm Springs, CA 92262-4800 | 2007-08-31 |
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|---|---|---|---|---|
| 1750999140 | Kamalesh K Sankhala Md Inc | Internal Medicine | 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 | 2020-07-21 |
| 1396365144 | Collin Vu Md, Inc. | Internal Medicine | 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 | 2020-04-22 |
| 1720626757 | Fenix Health Medical Oncology Group PC | Internal Medicine | 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 | 2019-12-20 |
| 1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.