Dr Jimmy Phan Medical Corporation
Dr Jimmy Phan Medical Corporation is a Pediatrics Physician in Lake Elsinore, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
425 Diamond Dr Ste 103Lake Elsinore, CA 92530-4495
Phone: (951) 981-3122
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1144989385 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jimmy Phan — Ceo · (714) 232-9493 |
| Other names | Lake Elsinore Pediatrics |
| NPI enumerated | December 15, 2021 |
| Last updated in NPPES | January 27, 2022 |
| Certification date | January 27, 2022 |
| Mailing address | 425 Diamond Dr Ste 103, Lake Elsinore, CA 92530-4495 |
Other providers in Lake Elsinore
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Mr. Houssam Fayad, MD
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Mohammad Imandoust, MD
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Mrs. Latiffah Abdullah McGinness, MDFAAPMBBS
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Pediatrics R US Inc
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