Phan Chiropractic & Wellness Ctr, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

COR2496 Issued in CA

Legal business name

PHAN CHIROPRACTIC & WELLNESS CTR, INC

Practice address

13037 Euclid St
Garden Grove, CA 92843-1333

Phone

(714) 590-1892

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vu H Phan, D.CNPI 1699882118

Title

Cfo

Phone

(714) 590-1892

Specialties & licenses 1

Addresses

Other names 1

• Victoria Duong Chiropractic Incorporated Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vu Huy Phan, D.C, FNP-C, L.AC

  • Family Nurse Practitioner
  • Garden Grove, CA
  • NPI 1699882118

  Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1598798993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13037 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431333",
            "telephone_number": "714-590-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13037 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431333",
            "telephone_number": "714-590-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAN CHIROPRACTIC & WELLNESS CTR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "VU",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-590-1892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "COR2496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria Duong Chiropractic Incorporated",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Trinh Thuy Lan Pham
• Tuan Anh Pham, D.P.T.
• VI Pham, M.S.
• Vicky Pham
• Willie Lam Pham
• Anh Thi Phan-Chu, M.S., BCBA
• Anh Minh Phan
• Chau Ngoc Thanh Phan, PHARM.D
• CHI Hong Phan
• Fyona Quynh Mi Phan

• Chiropractor in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.