Individual provider · Type 1 NPI
Theodore Thien Phan
Physician Assistant · Novato, CA
Practice location
52 Trinity Dr
Novato, CA 94947-5246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Physician Assistant Primary | 363A00000X | 61808 (CA) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1104546969
Theodore Thien Phan's National Provider Identifier is 1104546969, issued on Aug 31, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Novato, CA. The record was last updated on Dec 5, 2022.