DR. MAI TUYET PHAN


Address: 18625 Sherman Way, Suite #104, Reseda, CA 91335-4148
Phone: 8183428171

DR. MAI TUYET PHAN (NPI# 1306879283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306879283
Entity Type Individual
Full Name DR. MAI TUYET PHAN
Other Name DR. CHRISTINE PHAN HUYNH
Credential M.D.
Practice Address 18625 Sherman Way
Suite #104
Reseda
CA 91335-4148
Practice Telephone 8183428171
Practice Fax Number 8183428173
Mailing Telephone 8183428171
Mailing Fax Number 8183428173
Enumeration Date 2006-07-07
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine A051466 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A514660 05

Other Providers MAI PHAN

NPI Name Taxonomy Address Enumeration
1134207608 Mai T Phan Dentist 4001 N 9th St, Suite 218, Arlington, VA 22203 2006-11-01
1255321998 Mai Truc Phan Family Medicine 388 Commonwelath Ave Mbb, Mgh Back Bay, Boston, MA 02215-2800 2005-10-25
1649553660 Mai Phan Pharmacist 7299 Laguna Blvd, Elk Grove, CA 95758-5059 2011-09-26
1265441471 Mai J. Phan Dentist 30 Springdale Ave, Dover, MA 02030 2006-08-05

Office Location

Street Address 18625 SHERMAN WAY
SUITE #104
City RESEDA
State CA
Zip Code 91335-4148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669427225 Tnh Inc. Pharmacy 18625 Sherman Way, Ste 107, Reseda, CA 91335-4148 2006-05-23
1134537236 Curerx Compounding Pharmacy Inc Pharmacy 18625 Sherman Way, Suite 107, Reseda, CA 91335-4148 2014-08-01
1538449731 Betty Huynh Nurse Practitioner 18625 Sherman Way, Suite 104, Reseda, CA 91335 2011-08-19
1740570100 Agnes Bahng General Practice 18625 Sherman Way, Reseda, CA 91335-4148 2011-04-19
1588969026 Mai Tuyet Phan Medical Clinic A Professional Corporation Clinic/Center 18625 Sherman Way, Suite 104, Reseda, CA 91335-4148 2011-01-13
1801110457 Christopher Huynh Anesthesiology 18625 Sherman Way, Suite 104, Reseda, CA 91335-4148 2010-03-24
1871717298 Stephanie Thu Le Chiropractor 18625 Sherman Way, Suite 109, Reseda, CA 91335-4191 2007-04-13
1629291117 All Your Needs Healthcare Productsm, Inc. Durable Medical Equipment & Medical Supplies 18625 Sherman Way, Suite 106, Reseda, CA 91335-4148 2007-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356968754 Thomas Allen Hambright Massage Therapist 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 2020-07-01
1558912014 Harriet Ann Bickel Technician 18006 Hatton St., Reseda, CA 91335 2019-09-26
1528627106 Topanga Hospice Care, Inc. Hospice Care, Community Based 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 2019-06-07
1881174043 Aludra Inc. Hospice Care, Community Based 18325 Sherman Way, Suite A, Reseda, CA 91335 2018-08-17
1417437658 Buonora Development, Inc Physical Therapist 19325 Sherman Way, Reseda, CA 91335 2018-08-16
1770073793 Deanna Marie Niekamp Counselor 7232 Canby Ave. #4,5,6, Reseda, CA 91335 2018-05-15
1013423383 Bassa Logistic Inc Non-emergency Medical Transport (VAN) 19537 Valerio Street, Reseda, CA 91335 2017-12-21
1093237919 Belinda Reser Counselor 7101 Baird St, Reseda, CA 91335 2017-07-12
1720500028 Hermine Karapetyan Hearing Instrument Specialist 19367 Victory Blvd., Suite 14, Reseda, CA 91335 2017-07-09
1902352461 Baird Group Home Residential Treatment Facility, Emotionally Disturbed Children 7701 Baird Avenue, Reseda, CA 91335 2016-08-25
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295274108 Karminder Singh Internal Medicine 18325 Vanowen St, Apt 198, Reseda, CA 91335-5426 2017-02-13
1093126088 Vartan Daniel Papazian Internal Medicine 18040 Sherman Way Ste 210, Reseda, CA 91335-4631 2014-05-13
1629381926 Rosalynd E Hicks Internal Medicine 19017 Gault St Unit 102, Reseda, CA 91335-3945 2010-07-15
1912122631 Leo Polosajian, Md, A Professional Medical Corporation Internal Medicine 7640 Tampa Ave, Suite 101, Reseda, CA 91335-1735 2007-04-16
1255463204 Ilya Rachman Internal Medicine 7601 Canby Ave Ste 7, Reseda, CA 91335-2974 2007-03-12
1174664783 Leo Polosajian Internal Medicine 7640 Tampa Ave Ste 101, Reseda, CA 91335-1713 2007-02-08
1992717367 Flm Medical Clinic Apc Internal Medicine 18445 Vanowen St, Reseda, CA 91335-5324 2006-08-13
1114947058 Choice Providers Medical Group Inc Internal Medicine 17750 Sherman Way, Ste 101, Reseda, CA 91335-3380 2006-07-21
1679937643 Koruon Daldalyan Internal Medicine 19234 Vanowen St, Reseda, CA 91335-5000 2016-04-06
1962862110 Los Angeles Jewish Home Ipa Internal Medicine 7150 Tampa Ave, Reseda, CA 91335-3700 2016-03-01
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Competitor

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City RESEDA
Zip Code 91335

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Dataset Information

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.

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