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General NPI Number Information
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NPI Number | 1831247667
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Entity Type | Individual
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Provider Name | VU Q. PHAN MD
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 3822 KATELLA AVE STE 200
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3302
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Country | US
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Telephone | 562-735-0602
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Fax | 562-725-4370
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Provider Business Mailing Address
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Address Line | 3822 KATELLA AVE STE 200
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3302
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Country | US
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Telephone | 562-735-0602
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Fax | 562-490-8590
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A070377
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A70377
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License Number State | CA
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