NPI 1093073462

Phan Chiropractic

Organisation Health Maintenance Organization San Jose, CA

Practice location

Address: 2470 Alvin Ave. Suite 30, San Jose, CA 95121-1664
Phone: (408) 528-9000
Fax: (408) 528-9008
Mailing address: 2470 Alvin Ave Suite 30, San Jose, CA 95121-1664

Authorised official

Name: Gia-Hung Long Phan
Title: Doctor/Owner
Phone: (408) 528-9000

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence DC29087 (CA)

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Registry record

NPI: 1093073462
Entity type: Organization
NPI issued: 24 Apr 2012
Record last updated: 24 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.