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
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | AC 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.