VAN THUAN PHAT

NPI # 

Practice Address:

825 E Anaheim St

Long Beach, CA, 90813-3550

Practice Phone:

562-599-5795

Practice Fax:

562-599-5795

License Number:

AC 11575

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X