Individual provider · Type 1 NPI

Quynh Ngoc Phan

Student in an Organized Health Care Education/Training Program · San Jose, CA

NPI number 1346970480 Active

Practice location

160 E Virginia St Ste 280
San Jose, CA 95112-5817

Call (408) 938-2113 Map

Fax (408) 579-6143

Mailing address

160 E. Virginia St., Suite 100
San Jose, CA 95112-5817

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346970480

Quynh Ngoc Phan's National Provider Identifier is 1346970480, issued on Jun 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Mar 22, 2023.