Search › California › 1223G0001X
Matt Phan, D.M.D
NPI 1881864262 · on the registry since 2008 · sole proprietor
Practice
- Address
- 13882 Newport Ave Ste B
Tustin, CA 92780 - Phone
- (949) 440-1105
- Organisation at this address
- Matt T Phan Dmd Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-18
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