Mai Tuyet Phan Medical Clinic a Professional Corporation
Mai Tuyet Phan Medical Clinic a Professional Corporation is a Health Service Clinic/Center in Reseda, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
18625 Sherman Way Ste 104Reseda, CA 91335-4148
Phone: (818) 342-8171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X · Licence A51466 (CA) |
|---|
Record details
| NPI number | 1588969026 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mai Phan — M.D. · (818) 342-8171 |
| NPI enumerated | January 13, 2011 |
| Last updated in NPPES | October 7, 2011 |
| Mailing address | 18625 Sherman Way, Suite 104, Reseda, CA 91335-4148 |
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-
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