MKP Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MKP INTERNAL MEDICINE

Doing business as

Monique K Phan

Practice address

59 Decker
Irvine, CA 92620-7348

Phone

(657) 390-6840

NPI assigned

May 7, 2020

Last updated

May 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monique K Phan, DO

Title

President

Phone

(657) 390-6840

Specialties & licenses 1

Addresses

Other names 1

• Monique K Phan Doing business as

Locations

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1881216208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEAGUE UNIT 60924",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926027040",
            "telephone_number": "657-390-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 DECKER",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926207348",
            "telephone_number": "657-390-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKP INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "657-390-6840",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monique K Phan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Yeichi Miyadi, OTR
• Bailey Miyasato
• Pamela Ann Mizell, CNM
• Ray Mizutari, BS
• MK SG Dental Corp (Orange County Dental Specialist)
• MLJ Foundation
• Kauani K Moa I
• Afshan Mobin
• Modern Integrative Nutrition PC
• Modern Psychiatric Group

• Internal Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.