T MAI PHAN MD INC NPI 1275835688

NPI Information

  • NPI: 1275835688
  • Provider Name: T MAI PHAN MD INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 9500 BOLSA AVE
    SUITE P
    WESTMINSTER, CA
    ZIP 92683
  • Phone: (714) 775-4400

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NPI Details

T MAI PHAN MD INC is a clinic center in Westminster, CA. The provider is 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). T MAI PHAN MD INC NPI is 1275835688. The provider is registered as an organization entity type.

The provider's business location address is:

9500 BOLSA AVE
SUITE P
WESTMINSTER, CA
ZIP 92683-943
Phone: (714) 775-4400
Fax: (714) 775-0149

The provider's authorized official is Tuyet-mai Phan .
The authorized official title is President and has the following contact phone number (714) 775-4400.

The enumeration date for this NPI number is 11/18/2010 and was last updated on 11/18/2010.

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
1261Q00000XClinic/CenterCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G57670BMEDICARE PINCALIFORNIA
200G576702MEDICAIDCALIFORNIA
363883MEDICARE UPINCALIFORNIA
4G57670AMEDICARE PINCALIFORNIA
500G576701MEDICAIDCALIFORNIA

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: 11/21/2025

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