Gia-Hung Phan DC Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GIA-HUNG PHAN DC INC.

Doing business as

Phan Wellness Center

Practice address

2470 Alvin Ave Ste 30B
San Jose, CA 95121-1664

Phone

(408) 217-9736

Fax

(408) 217-9736

NPI assigned

Nov 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gia-Hung Long Phan, DC

Title

Director/Owner

Phone

(669) 400-9313

Specialties & licenses 1

Addresses

Other names 1

• Phan Wellness Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1437922325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 ALVIN AVE STE 30B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211664",
            "telephone_number": "408-217-9736",
            "fax_number": "408-217-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 ALVIN AVE STE 30B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211664",
            "telephone_number": "408-217-9736",
            "fax_number": "408-217-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIA-HUNG PHAN DC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "GIA-HUNG",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "669-400-9313",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phan Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.