THEODORE PHAN

ORANGE, CA
NPI1154783736
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  95767)
Enumeration Date2016-03-23
Last Update Date2021-01-06
Business Address
THEODORE PHAN
4000 W METROPOLITAN DR
ORANGE, CA 92868-3504
Phone number: 866-830-6011
Mailing Address
THEODORE PHAN
6100 CHIP AVE
CYPRESS, CA 90630-5212
Phone number:
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