MEDICARE: DR. JOHN PHU VAN D.D.S.

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
1	1223G0001X	General Practice Dentistry	36333	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801881743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN PHU VAN D.D.S.

Provider Business Mailing Address
First Line	:	13722 TYPEE WAY
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92620-3272
Country	:	US
Telephone Number	:	949-500-4303
Fax Number	:	714-242-1777

Provider Business Practice Location Address
First Line	:	12555 GARDEN GROVE BLVD
Second Line	:	SUITE 308
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1902
Country	:	US
Telephone Number	:	714-534-1434
Fax Number	:	714-242-1777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	10/25/2007

Similar Medicare Providers

1184553505 — CLEAN PATH RECOVERY
Practice Location Address:

12555 GARDEN GROVE BLVD STE 303&305
GARDEN GROVE, CA
92843-1902

Practice Phone: 949-278-1915
Practice Fax:

1780682401 — DR. JULIE HWYNN M.D.
Practice Location Address:

12555 GARDEN GROVE BLVD , SUITE 301
GARDEN GROVE, CA
92843-1902

Practice Phone: 714-741-0501
Practice Fax: 714-741-0095

1386642866 — DR. PHU THIEN NGUYEN D.O.
Practice Location Address:

12555 GARDEN GROVE BLVD , SUITE 301
GARDEN GROVE, CA
92843-1902

Practice Phone: 714-741-0501
Practice Fax: 714-741-0095

1255332979 — DR. HONG-AN JAN M.D.
Practice Location Address:

12555 GARDEN GROVE BLVD , SUITE 202
GARDEN GROVE, CA
92843-1902

Practice Phone: 714-538-1288
Practice Fax: 714-538-4913

1841291440 — RIVERVIEW MEDICAL GROUP, INC
Practice Location Address:

12555 GARDEN GROVE BLVD , SUITE 507
GARDEN GROVE, CA
92843-1902

Practice Phone: 714-590-3090
Practice Fax: 714-590-3098

1124010384 — DR. WILLIAM G ANNAN MD
Practice Location Address:

12555 GARDEN GROVE BLVD , SUITE 302
GARDEN GROVE, CA
92843-1902

Practice Phone: 714-530-3270
Practice Fax: 714-530-3278

Directions to “ DR. JOHN PHU VAN D.D.S.” 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.