KEVIN PHAN (NPI# 1629586706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629586706 |
Entity Type | Individual |
Full Name | KEVIN PHAN |
Practice Address |
9800 Vesper Ave Unit 142 Panorama City CA 91402-1093 |
Practice Telephone | 8186347675 |
Mailing Telephone | 8186347675 |
Enumeration Date | 2018-01-11 |
Last Update Date | 2018-01-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
1174907273 | Kevin Phan | Optometrist | 165 East 87th St 1rw, New York, CA 10128 | 2015-07-17 |
1013335785 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 504 N Forbes Ave, Montebello, CA 90640-3732 | 2014-03-31 |
1922238385 | Kevin Vu Phan | Dentist | 5530 W Grand Pkwy S, Suite 100, Richmond, TX 77406-5802 | 2009-07-20 |
1912079906 | Kevin Huy Phan | Chiropractor | 1820 Professional Dr Ste 2, Sacramento, CA 95825-2120 | 2006-11-14 |
1649807876 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 276 International Cir, San Jose, CA 95119-1130 | 2020-03-26 |
1083247225 | Kevin Phan | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-02-17 |
1932740610 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2019-10-03 |
1225532005 | Kevin Taiduc Phan | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2018-03-19 |
1033539150 | Kevin Ht Phan | Orthopaedic Surgery | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2014-04-17 |
Street Address |
9800 VESPER AVE UNIT 142 |
City | PANORAMA CITY |
State | CA |
Zip Code | 91402-1093 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457900979 | Natalie Levine | Physician Assistant | 9140 Van Nuys Blvd Ste 207, Panorama City, CA 91402 | 2019-09-06 |
1609423912 | Jannet De La Torre | Student in an Organized Health Care Education/Training Program | 8018 Broadleaf Ave., Panorama City, CA 91402 | 2019-08-21 |
1659838258 | Carlota Andon | Psychologist | 14907 Willard St., Panorama City, CA 91402 | 2019-03-01 |
1477037471 | Lisa Diaz | Respiratory Therapist, Registered | 13651 Cantara St, Panorama City, CA 91402 | 2018-09-17 |
1124500665 | Luis Valentine Ascencio Jr. | Respiratory Therapist, Certified | Southern Calif. Kaiser Permanente Hospital, 8110 Woodman Ave Building 5, Panorama City, CA 91402 | 2018-08-31 |
1669951562 | Floyd Bailey | Respiratory Therapist, Registered | 8110 Woodman Ave Bldg 5, Panorama City, CA 91402 | 2018-08-10 |
1265910285 | St. Rita's Congregate, Inc. | Nursing Facility/Intermediate Care Facility | 7818 Allott Ave, Van Nuys, CA 91402 | 2018-08-01 |
1255834370 | Bishoy Saad | Student in an Organized Health Care Education/Training Program | 8435 Minuet Pl, Panorama City, CA 91402 | 2018-03-15 |
1376080309 | International Pre-diabetes Center Inc | Registered Nurse | 14500 Roscoe Blvd., 4th Floor, 4th Floor, Panorama City, CA 91402 | 2017-01-29 |
1023489176 | Jane Ryang | Pharmacist | 13652 Cantara Street, Mo4 Room 105, Panorama City, CA 91402 | 2015-10-15 |
Find all providers in zip 91402 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245842558 | Ramela Trtryan | Student in an Organized Health Care Education/Training Program | 8205 Tyrone Ave, Panorama City, CA 91402-5324 | 2020-08-18 |
1609423912 | Jannet De La Torre | Student in an Organized Health Care Education/Training Program | 8018 Broadleaf Ave., Panorama City, CA 91402 | 2019-08-21 |
1255834370 | Bishoy Saad | Student in an Organized Health Care Education/Training Program | 8435 Minuet Pl, Panorama City, CA 91402 | 2018-03-15 |
1396116349 | Shira Kohan | Student in an Organized Health Care Education/Training Program | 13640 Roscoe Blvd, Panorama City, CA 91402-3904 | 2015-10-16 |
1609283746 | Diana Kim | Student in an Organized Health Care Education/Training Program | 13652 Cantara St, Panorama City, CA 91402 | 2014-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
Find all providers with the same taxonomy |
City | PANORAMA CITY |
Zip Code | 91402 |
Please comment or provide details below to improve the information on KEVIN PHAN.
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.