Peter Binh Phan, DMD

General Practice Dentistry · Gardena, CA

Individual Active NPI

NPI number 1558496174

Practice location

16229 S Western Ave Ste 2
Gardena, CA 90247
Phone
(408) 256-3435

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NPI record

NPI
1558496174
Entity type
Individual (Type 1)
Enumeration date
February 22, 2007
Last updated
March 7, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 54722 CA

Mailing address

16229 S Western Ave Ste 2
Gardena, CA 90247-4660
Phone
(408) 256-3435

About Dr. Phan

Peter Binh Phan, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 16229 S Western Ave Ste 2, Gardena, CA 90247. The NPI number 1558496174 was assigned on February 22, 2007 and the record was last updated on March 7, 2023.

Dr. Phan lists a license in the registry: #54722 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Binh Phan, DMD?

The NPI number is 1558496174.

What is the phone number of Dr. Phan?

The phone number listed for the practice location is (408) 256-3435.

Where is Dr. Phan located?

16229 S Western Ave Ste 2, Gardena, CA 90247.

What is the taxonomy code for Dr. Phan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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