An Lun Phang

Primary specialty

PerfusionistTaxonomy code 242T00000X

License

D3171262 Issued in CA

Legal business name

AN LUN PHANG

Practice address

3481 La Mesa Dr
San Carlos, CA 94070-4254

Phone

(650) 321-9999

NPI assigned

May 8, 2014

Organization subpart

No

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

Authorized official

Name

Mr. An Lun Phang

Title

Perfusionist

Phone

(909) 456-0722

Specialties & licenses 1

Addresses

Other names 1

• Allan Phang Other name

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1629489968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 WALLACE CT",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083020",
            "telephone_number": "909-456-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 LA MESA DR",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704254",
            "telephone_number": "650-321-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN LUN PHANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "PHANG",
        "authorized_official_first_name": "AN LUN",
        "authorized_official_title_or_position": "PERFUSIONIST",
        "authorized_official_telephone_number": "909-456-0722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Perfusionist",
            "state": "CA",
            "license": "D3171262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allan Phang",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jerold Fenton Alvarado, D.D.S.
• Rosa Maria Alvarado
• American Current Care of California, a Medical Corporation
• Urmi Amin, DDS, MS
• Farzaneh Amini, PH.D.
• Jim Douglas Anderson, M.D.
• Keith Anderson
• Ryan Anderson
• Marjorie Sagrario Andino-Rivera, APCC23085
• David Michael Andreski, MD

• Perfusionist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Perfusionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.