Matt Phan in Tustin - General Practice

Matt Phan - NPI 1881864262

Matt Phan is a General Practice in Tustin, California. Matt Phan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Matt Phan is 1881864262. The last update date is 2021-03-18.

Matt Phan's current location address is 13882 Newport Ave Ste B, Tustin, California. You can contact this provider via phone number 9494401105. The mailing address for Matt Phan is 13882 Newport Ave Ste B, Tustin, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Matt Phan
Address 13882 Newport Ave Ste B, Tustin, California
Phone Number 9494401105
Fax Number
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1881864262
Provider Enumeration Date 2008-03-03
Last Updated Date 2021-03-18

Provider Mailing Address Detail

Address 13882 Newport Ave Ste B
City Tustin
State California (CA)
Post Code 927804666
Phone Number 9494401105
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4282
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Matt Phan

What is the unique 10-digit identifier code assigned to Matt Phan by the Centers for Medicare & Medicaid Services?

The Matt Phan has been issued the NPI (National Provider Identifier) 1881864262 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Matt Phan's facilities are situated?

The facilities of Matt Phan are physically located at the following address: 13882 Newport Ave Ste B, Tustin, CA, 927804666.

What is Matt Phan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Matt Phan is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1881864262 to Matt Phan?

The Centers for Medicare & Medicaid Services originally issued the 1881864262 to Matt Phan on 2008-03-03.

When was the information regarding Matt Phan most recently updated?

The details pertaining to the Matt Phan, including its address, specialty, and other relevant information, were last refreshed on 2021-03-18.

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