Richard Phan (NPI# 1609352798, PAC ID# 8022369131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1609352798 |
| PAC ID by PECOS | 8022369131 |
| Professional Enrollment ID | I20180927002861 |
| Full Name | Richard Phan |
| Organization Legal Name | ATHENA BRASFIELD OD, A PROFESSIONAL CORPORATION |
| Address |
82227 Us Hwy 111 Suite B2 Indio CA 92201-5668 |
| Phone Number | 7603476636 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749577088 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 52565 Cesar Chavez St, Suite 105, Coachella, CA 92236-1534 | 7603981500 | ATHENA BRASFIELD OD, A PROFESSIONAL CORPORATION |
| 82227 Us Hwy 111, Suite B2, Indio, CA 92201-5668 | 7603476636 | ATHENA BRASFIELD OD, A PROFESSIONAL CORPORATION |
| Organization Legal Name | ATHENA BRASFIELD OD, A PROFESSIONAL CORPORATION |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Athena R Brasfield | Optometry | Athena Brasfield Od, A Professional Corporation | 82227 Us Hwy 111, Suite B2, Indio, CA 92201-5668 |
| Ann Le | Optometry | Athena Brasfield Od, A Professional Corporation | 82227 Us Hwy 111, Suite B2, Indio, CA 92201-5668 |
| Justin P Kozloski | Optometry | Athena Brasfield Od, A Professional Corporation | 82227 Us Hwy 111, Suite B2, Indio, CA 92201-5668 |
| Kathryn A Recker | Optometry | Athena Brasfield Od, A Professional Corporation | 82227 Us Hwy 111, Suite B2, Indio, CA 92201-5668 |
| Street Address |
82227 US HWY 111 SUITE B2 |
| City | INDIO |
| State | CA |
| Zip | 92201-5668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Athena R Brasfield | Optometry | Athena Brasfield Od, A Professional Corporation | 82227 Us Hwy 111, Suite B2, Indio, CA 92201-5668 |
| Ann Le | Optometry | Athena Brasfield Od, A Professional Corporation | 82227 Us Hwy 111, Suite B2, Indio, CA 92201-5668 |
| Justin P Kozloski | Optometry | Athena Brasfield Od, A Professional Corporation | 82227 Us Hwy 111, Suite B2, Indio, CA 92201-5668 |
| Kathryn A Recker | Optometry | Athena Brasfield Od, A Professional Corporation | 82227 Us Hwy 111, Suite B2, Indio, CA 92201-5668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt A Spurgin | Chiropractic | 80545 Hwy 111 B, Indio, CA 92201 | |
| Marco Antonio Cazares | Chiropractic | 81765 Hwy 111 3, Indio, CA 92201 | |
| Carol Guy | Clinical Social Worker | County of Riverside | 47 -825 Oasis St, Indio, CA 92201 |
| Efren Fung Wu | Family Medicine | 44100 Jefferson St, E507, Indio, CA 92201-2715 | |
| Jose L Fernandez | Family Medicine | Southern California Permanente Medical Group | 46900 Monroe St, Suite E, Indio, CA 92201-4827 |
| Christina Lee | Diagnostic Radiology | Southern California Permanente Medical Group | 46900 Monroe St, Suite E, Indio, CA 92201-4827 |
| Bo Gyi | Diagnostic Radiology | Southern California Permanente Medical Group | 46900 Monroe St, Suite E, Indio, CA 92201-4827 |
| Yunhan Zhang | Podiatry | Southern California Permanente Medical Group | 46900 Monroe St, Suite E, Indio, CA 92201-4827 |
| Marc R Avent | Family Medicine | Southern California Permanente Medical Group | 46900 Monroe St, Suite E, Indio, CA 92201-4827 |
| Ida A Nieuwenhuizen | Physician Assistant | Southern California Permanente Medical Group | 46900 Monroe St, Suite E, Indio, CA 92201-4827 |
| Find all physicians in zip 92201 | |||
| City | INDIO |
| Zip Code | 92201 |
| Specialty | OPTOMETRY |
| City + Specialty | INDIO + OPTOMETRY |
Please comment or provide details below to improve the information on Richard Phan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.