DR. TUNG THANH PHAN (NPI# 1699848861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699848861 |
| Entity Type | Individual |
| Full Name | DR. TUNG THANH PHAN |
| Credential | MD |
| Practice Address |
10152 Westminster Ave Garden Grove CA 92843-4754 |
| Practice Telephone | 7145303939 |
| Practice Fax Number | 7145308388 |
| Mailing Telephone | 7145303939 |
| Mailing Fax Number | 7145308388 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A43113 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A431130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699271429 | Tung Phan | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2018-04-02 |
| 1508130311 | Tung Phan | Physician Assistant | 507 S Atlantic Blvd, Los Angeles, CA 90022-2621 | 2012-02-27 |
| Street Address |
10152 WESTMINSTER AVE |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518138015 | Tung Phan Md Inc | General Practice | 10152 Westminster Ave, Garden Grove, CA 92843-4754 | 2008-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114498177 | Global Telecare, Inc. | General Practice | 12522 Brookhurst St Ste D, Garden Grove, CA 92840-4854 | 2018-12-16 |
| 1891945846 | Thien An Medical Center, Inc | General Practice | 12541 Brookhurst St Ste 101, Garden Grove, CA 92840-4858 | 2008-09-26 |
| 1972775872 | H. James Kojian II, M.d., Inc. | General Practice | 11873 Valley View St, Garden Grove, CA 92845-1236 | 2008-03-31 |
| 1518138015 | Tung Phan Md Inc | General Practice | 10152 Westminster Ave, Garden Grove, CA 92843-4754 | 2008-03-12 |
| 1104014034 | Joong Young Park M.d. Inc. | General Practice | 9535 Garden Grove Blvd Ste 104, Garden Grove, CA 92844-1551 | 2007-10-04 |
| 1275612665 | Magnolia Medical Group, Inc. | General Practice | 12921 Fern St Ste E, Garden Grove, CA 92841-4300 | 2006-11-04 |
| 1285725051 | Kwang Sook Kim | General Practice | 9636 Garden Grove Blvd # 16, Garden Grove, CA 92844-1530 | 2006-09-27 |
| 1235231333 | Minh Ngoc Dang | General Practice | 12302 Garden Grove Boulevard, Ste #7, Garden Grove, CA 92843-1835 | 2006-09-01 |
| 1831208065 | Byung H Pak | General Practice | 9012 Garden Grove Blvd, Suite 101, Garden Grove, CA 92844-1321 | 2006-08-30 |
| 1841216801 | Du Quang Tran | General Practice | 10090 Westminster Ave, Garden Grove, CA 92843 | 2006-07-14 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
Please comment or provide details below to improve the information on DR. TUNG THANH 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.