Anthony Thong Phan in Simi Valley - Internal Medicine

Anthony Thong Phan - NPI 1124207006

Anthony Thong Phan is a Internal Medicine in Simi Valley, California. Anthony Thong Phan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Anthony Thong Phan is 1124207006. The last update date is 2019-08-21.

Anthony Thong Phan's current location address is 1189 Swallow Ln Ste 110, Simi Valley, California. You can contact this provider via phone number 8055263213 and fax number 8055835929. The mailing address for Anthony Thong Phan is 1189 Swallow Ln Ste 110, Simi Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony Thong Phan
Address 1189 Swallow Ln Ste 110, Simi Valley, California
Phone Number 8055263213
Fax Number 8055835929
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1124207006
Provider Enumeration Date 2007-10-29
Last Updated Date 2019-08-21

Provider Mailing Address Detail

Address 1189 Swallow Ln Ste 110
City Simi Valley
State California (CA)
Post Code 930653157
Phone Number 8055263213
Fax Number 8055835929

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No G83470
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G834700 CA MEDICAL PROVIDER NUMBER
O5D0989497 CA CLIA

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FAQs about Anthony Thong Phan

What is the unique identification code assigned to Anthony Thong Phan by the Centers for Medicare & Medicaid Services?

The Anthony Thong Phan has been issued the NPI (National Provider Identifier) 1124207006. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Anthony Thong Phan is physically located?

The Anthony Thong Phan is situated at the following address: 1189 Swallow Ln Ste 110, Simi Valley, CA 930653157.

What is the area of specialization for Anthony Thong Phan, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Anthony Thong Phan is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124207006 to Anthony Thong Phan?

The Centers for Medicare & Medicaid Services originally issued the 1124207006 to Anthony Thong Phan on 2007-10-29.

As of what date were the details pertaining to Anthony Thong Phan last refreshed?

The information related to the Anthony Thong Phan, including its address, specialty, and other relevant details, was last updated on 2019-08-21.

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