THAIBINH PHAN MD INC NPI 1215401583

NPI Information

  • NPI: 1215401583
  • Provider Name: THAIBINH PHAN MD INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: THAI BINH MEDICAL CLINIC
  • CLIA Number: 05D0713604
  • Address: 10691 WESTMINSTER AVE # 100
    GARDEN GROVE, CA
    ZIP 92843
  • Phone: (714) 539-4900

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NPI Details

THAIBINH PHAN MD INC is a primary care clinic center in Garden Grove, CA. THAIBINH PHAN MD INC NPI is 1215401583. The provider is registered as an organization entity type.
The provider Is Doing Business As Thai Binh Medical Clinic.

The provider's business location address is:

10691 WESTMINSTER AVE # 100
GARDEN GROVE, CA
ZIP 92843-911
Phone: (714) 539-4900
Fax: (714) 539-4902

The provider's authorized official is Thaibinh Tran Phan .
The authorized official title is Ceo and has the following contact phone number (714) 539-4900.

The CLIA number assigned to this NPI record is 05D0713604 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/18/2019 and was last updated on 9/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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