DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. THOMAS NGOC PHAN M.D.

MEDICARE: DR. THOMAS NGOC PHAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianBP10060945TX
22084P0800XPsychiatry PhysicianA170266CA

General Provider Information

NPI Number : 1740716687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS NGOC PHAN M.D.
Provider Business Mailing Address
First Line : 1640 NEWPORT BLVD STE 110
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-7762
Country : US
Telephone Number : 925-282-1778
Fax Number : 415-296-5299
Provider Business Practice Location Address
First Line : 1640 NEWPORT BLVD STE 110
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-7762
Country : US
Telephone Number : 925-282-1778
Fax Number : 415-296-5299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2017
Last Update Date : 02/17/2025

Similar Medicare Providers

1689081788 — DR. KAREN MOE AUNG PSYD, LP
Practice Location Address:
1640 NEWPORT BLVD STE 110
COSTA MESA, CA
92627-7762
Practice Phone: 925-282-1778
Practice Fax:
1639439342 — JENNA JEAN TORRES PSYD, LP
Practice Location Address:
1640 NEWPORT BLVD STE 110
COSTA MESA, CA
92627-7762
Practice Phone: 925-282-1778
Practice Fax:
1700274974 — MR. KEITH ALLEN JENKINS DNP, PMHNP-BC, FNP
Practice Location Address:
1640 NEWPORT BLVD STE 110
COSTA MESA, CA
92627-7762
Practice Phone: 925-282-1778
Practice Fax:
1093261448 — MARINA VLADIMIROVNA PODLUBNAYA PMHNP-BC
Practice Location Address:
1640 NEWPORT BLVD STE 110
COSTA MESA, CA
92627-7762
Practice Phone: 925-282-1778
Practice Fax:
1922578772 — MARIAN THUY TRANG CAO LMFT
Practice Location Address:
1640 NEWPORT BLVD STE 110
COSTA MESA, CA
92627-7762
Practice Phone: 925-282-1778
Practice Fax: 415-296-5299
1609427160 — CRYSTAL ANN LAWSON LMFT
Practice Location Address:
1640 NEWPORT BLVD STE 110
COSTA MESA, CA
92627-7762
Practice Phone: 925-282-1778
Practice Fax:

Directions to “ DR. THOMAS NGOC PHAN M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.