Search › California › 207Q00000X
Thao Phan, M.D
NPI 1619113503 · on the registry since 2008
Practice
- Address
- 1170 Baker St Ste H1
Costa Mesa, CA 92626 - Phone
- (949) 791-3250
- Fax
- (949) 791-3251
- Clinicians at this address
- 7
Additional practice sites
- 18785 Brookhurst St, Fountain Valley, CA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California