Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THE TAI PHAN, DDS, MD
Active Sole ProprietorTHE TAI PHAN, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in PORTER RANCH, California. NPI 1407186562 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · PORTER RANCH, CA
Registration Details
- NPI Number
- 1407186562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2010 (16.580071752236 yrs)
- Last Updated
- Jun 23, 2012
- License
-
55427 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11200 CORBIN AVESUITE #208PORTER RANCH, CA, 913264120Browse CA providers · Browse ZIP 91326
- Phone
- 8183688522
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.