Mai T Phan
Medical Specialty
Professional ID
- NPI: 1306879283
- PECOS ID: 1951573229
- Enrollment ID: I20111010000255
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1978
Hospital Service
- Hospital CCN1: 050116
- Business Name (LBN)1: Northridge Hospital Medical Center
Medical Practices
- Organization Name: Mai Tuyet Phan Medical Clinic A Professional Corporation
- Group Practice ID assigned by PECOS: 2062684335
- Number of Group Practice member: 0
Location
- Address1: 18625 Sherman Way
- Address2: Suite 104
- City: Reseda
- State: California
- Zip Code: 91335
- Phone Number: (818)342-8171
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):