Andy Phan, MD

Pediatrics Physician · Exeter, CA

Individual Active NPI

NPI number 1710934088

Practice location

1014 San Juan Ave
Exeter, CA 93221-1312
Phone
(559) 592-7371
Fax
(559) 624-6590

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NPI record

NPI
1710934088
Entity type
Individual (Type 1)
Enumeration date
May 30, 2006
Last updated
January 20, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X A75547 CA

About Dr. Phan

Andy Phan, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1014 San Juan Ave, Exeter, CA 93221-1312. The NPI number 1710934088 was assigned on May 30, 2006 and the record was last updated on January 20, 2012.

Dr. Phan lists a license in the registry: #A75547 (CA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Andy Phan, MD?

The NPI number is 1710934088.

What is the phone number of Dr. Phan?

The phone number listed for the practice location is (559) 592-7371.

Where is Dr. Phan located?

1014 San Juan Ave, Exeter, CA 93221-1312.

What is the taxonomy code for Dr. Phan?

The primary taxonomy code is 208000000X – Pediatrics Physician.

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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