Kenneth Phan in San Jose - Obstetrics & Gynecology
Kenneth Phan - NPI 1336250836
Kenneth Phan is a Obstetrics & Gynecology in San Jose, California. Kenneth Phan practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Kenneth Phan is 1336250836. The last update date is 2013-04-29.
Kenneth Phan's current location address is 150 N Jackson Ave, San Jose, California. You can contact this provider via phone number 4089292680 and fax number 4089294635. The mailing address for Kenneth Phan is 150 N Jackson Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Phan |
|---|---|
| Address | 150 N Jackson Ave, San Jose, California |
| Phone Number | 4089292680 |
| Fax Number | 4089294635 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336250836 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2013-04-29 |
Provider Mailing Address Detail
| Address | 150 N Jackson Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951161908 |
| Phone Number | 4089292680 |
| Fax Number | 4089294635 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | A77173 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A771730 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth Phan by the Centers for Medicare & Medicaid Services?
The Kenneth Phan has been assigned the NPI (National Provider Identifier) 1336250836 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kenneth Phan's physical address?
The Kenneth Phan is physically located at 150 N Jackson Ave, in the city of San Jose, CA, with the postal code 951161908.
What is Kenneth 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 Kenneth Phan is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207V00000X.
When did Kenneth Phan receive its 1336250836 assignment?
The Kenneth Phan was assigned its 1336250836 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Kenneth Phan most recently updated or revised?
The information pertaining to Kenneth Phan, including its address, specialty, and other relevant details, was last updated or revised on 2013-04-29.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY