NPI 1104261700

Dung My Phan MD INC

Organisation Family Medicine Physician San Jose, CA

Practice location

Address: 1693 Flanigan Dr Suite #100, San Jose, CA 95121-1683
Phone: (408) 274-3881
Fax: (408) 274-9053

Authorised official

Name: Dung My Phan
Title: President
Phone: (408) 274-3881

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence A42236 (CA)

Other Family Medicine providers in California →

Registry record

NPI: 1104261700
Entity type: Organization
NPI issued: 8 May 2013
Record last updated: 19 Feb 2014

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.