THAO MINH PHAN

COSTA MESA, CA
NPI1619113503
Former NameTHAO MINH NGUYEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A101844)
Enumeration Date2008-12-23
Last Update Date2019-01-10
Business Address
THAO MINH PHAN M.D.
1170 BAKER ST STE H1
COSTA MESA, CA 92626
Phone number: 949-791-3250
Mailing Address
THAO MINH PHAN M.D.
1170 BAKER ST STE H1
COSTA MESA, CA 92626-4165
Phone number: 949-791-3250
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