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Phan Pel
NPI 1962879304 · on the registry since 2015 · sole proprietor
Practice
- Address
- 836 W 31st St
Long Beach, CA 90806 - Phone
- (805) 407-3895
Registry record
- Primary taxonomy
- 227900000X
227900000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California