LAURA PHAN, MD, INC (NPI# 1174957765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174957765 |
Entity Type | Organization |
Organization Name | LAURA PHAN, MD, INC |
Practice Address |
15055 Los Gatos Blvd Suite 320 Los Gatos CA 95032-2083 |
Practice Telephone | 6505875000 |
Mailing Telephone | 6505875000 |
Enumeration Date | 2013-08-30 |
Last Update Date | 2013-10-25 |
Authorized Official Name | DR. LAURA PHAN (PRESIDENT) |
Authorized Official Telephone | 6505875000 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
A126463 | CA | Ambulatory Health Care Facilities |
Street Address |
15055 LOS GATOS BLVD SUITE 320 |
City | LOS GATOS |
State | CA |
Zip Code | 95032-2083 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588722680 | Iris Gin | Dermatology | 15055 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2083 | 2006-12-04 |
1770964504 | Michelle Gough | Nurse Practitioner | 15055 Los Gatos Blvd, Ste 250, Los Gatos, CA 95032-2083 | 2015-06-17 |
1992077192 | Vital Health Institute | Specialist | 15055 Los Gatos Blvd, Suite 250, Los Gatos, CA 95032-2083 | 2012-02-02 |
1962638569 | Camilla Flemate | Physician Assistant | 15055 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2083 | 2009-06-09 |
1114167582 | Linda Mavity | Nurse Practitioner | 15055 Los Gatos Blvd, Suite 250, Los Gatos, CA 95032-2083 | 2009-02-25 |
1538312251 | Tom Sheng Liu | Surgery | 15055 Los Gatos Blvd, Suite 250, Los Gatos, CA 95032-2083 | 2008-10-25 |
1215194808 | Jerome H Liu | Plastic Surgery | 15055 Los Gatos Blvd, Suite 250, Los Gatos, CA 95032-2083 | 2008-05-21 |
1891993556 | Denise Marie Alberto | Physical Therapist | 15055 Los Gatos Blvd, Suite 205, Los Gatos, CA 95032-2083 | 2007-07-04 |
1538366984 | Laura T Phan | Ophthalmology | 15055 Los Gatos Blvd, Suite 320, Los Gatos, CA 95032-2083 | 2007-06-29 |
1356483549 | Iris Gin Md and Rodney Gin Md | Dermatology | 15055 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2083 | 2007-02-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
Find all providers in zip 95032 |
Taxonomy Code | 261QS0132X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ophthalmologic Surgery |
Definition to come... |
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1770865735 | Vision Institute of Southern California A Professional Medical Corpora | Clinic/Center | 18725 Gale Ave Ste 140, City of Industry, CA 91748-1358 | 2011-09-15 |
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1942523139 | Advanced Laser Center | Clinic/Center | 350 S Winchester Blvd, Suite 250, San Jose, CA 95128-2092 | 2010-03-02 |
1447485156 | Humboldt Physicians Surgery and Laser Center LLC | Clinic/Center | 3226 Timber Fall Court, Eureka, CA 95503-4888 | 2009-05-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.