TOM TUONG-GIA PHAN

LOS ANGELES, CA
NPI1396032611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  22988)
Enumeration Date2011-07-07
Last Update Date2011-07-07
Business Address
-- TOM TUONG-GIA PHAN
1224 VINE ST
LOS ANGELES, CA 90038-1612
Phone number: 323-769-6100
Mailing Address
-- TOM TUONG-GIA PHAN
1224 VINE ST
LOS ANGELES, CA 90038-1612
Phone number: 323-769-6100