Individual provider · Type 1 NPI
Jacqueline Vannga Phan, DC, L.AC.
Chiropractor · Anaheim, CA
NPI number
1043365612
Active
Practice location
1250 N Euclid St
Anaheim, CA 92801-1966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC27147 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1043365612
Jacqueline Vannga Phan, DC, L.AC.'s National Provider Identifier is 1043365612, issued on Jan 24, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Anaheim, CA. The record was last updated on Apr 27, 2015.