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Contact Information

NIAM PHAN, OD
44 SERRAMONTE CTR
DALY CITY, CA94015-2345
 Phone: 201-572-4039
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
Indicates primary specialty

NPI Profile & details for NIAM PHAN · (Male)

NPI Number 1508152281
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/22/2011
Last updated 07/01/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 14181
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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