Organization Active NPI

Van Thuan Phat

  • Clinic/Center
  • Long Beach, CA
National Provider Identifier
1962642892
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC 11575 Issued in CA
Legal business name
VAN THUAN PHAT
Practice address
825 E Anaheim St
Long Beach, CA 90813-3550
Phone
(562) 599-5795
Fax
(562) 599-5795
NPI assigned
Mar 5, 2009
Organization subpart
Yes
Parent organization
USA TULIP INTERNATIONAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Dr. Guoyuan Qin
Title
Doctor/PHD
Phone
(626) 377-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC 11575 CA Primary

Addresses

Primary practice location

825 E Anaheim St
Long Beach, CA 90813-3550

Mailing address

825 E Anaheim St
Long Beach, CA 90813-3550
Phone (562) 599-5795

National Provider Directory

National Provider Directory
Part of
USA Tulip International Inc

Locations

825 E Anaheim St
Long Beach, CA 90813
Phone (562) 599-5795

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1962642892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133550",
            "telephone_number": "562-599-5795",
            "fax_number": "562-599-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133550",
            "telephone_number": "562-599-5795",
            "fax_number": "562-599-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN THUAN PHAT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "USA TULIP INTERNATIONAL INC",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "QIN",
        "authorized_official_first_name": "GUOYUAN",
        "authorized_official_title_or_position": "DOCTOR/PHD",
        "authorized_official_telephone_number": "626-377-1353",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "AC 11575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.