Organization · Type 2 NPI

Van Thuan Phat

Clinic/Center · Long Beach, CA

NPI number 1962642892 Active

Practice location

825 E Anaheim St
Long Beach, CA 90813-3550

Fax (562) 599-5795

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XAC 11575 (CA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1962642892

Van Thuan Phat's National Provider Identifier is 1962642892, issued on Mar 5, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Long Beach, CA. The record was last updated on Mar 5, 2009.