DR. MONIQUE KIM PHAN (NPI# 1205038809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205038809 |
| Entity Type | Individual |
| Full Name | DR. MONIQUE KIM PHAN |
| Other Name | DR. MONIQUE BICH KIM PHAN |
| Credential | DO |
| Practice Address |
1500 E. Duarte Road Duarte CA 91010 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051-0185 |
| Practice Telephone | 6262564673 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 20A9739 | CA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 20A9739 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1500 E. DUARTE ROAD |
| City | DUARTE |
| State | CA |
| Zip Code | 91010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487620829 | Cornelia G. Banciu-odell | Internal Medicine | 1500 E. Duarte Road, Duarte, CA 91010 | 2006-02-26 |
| 1831661537 | Shan Ju Lin | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2018-12-19 |
| 1922581941 | Brittany Nicole Duvall | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2018-09-14 |
| 1720573017 | Sarah Kay De Belen | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2018-06-28 |
| 1740728484 | Julie Jean | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2017-02-02 |
| 1952848137 | Chelsea Marie Abad | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2017-01-25 |
| 1245777663 | Christien Jeyasingh | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2017-01-24 |
| 1982064093 | Mariya Milgram | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2016-03-02 |
| 1790151405 | Alice Han | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2015-08-17 |
| 1982081899 | Janet Rattanapichetkul | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2015-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932512704 | Mohammad Sadi | Hospitalist | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2014-06-09 |
| 1437326352 | Kourosh Golestany | Hospitalist | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2008-05-09 |
| 1063694917 | Ravindrakumar G Guruswamy | Hospitalist | 1500 E. Duarte Road, Duarte, CA 91010 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830813 | Ikigai Physician Group Inc | Hospitalist | 1523 Main St, Fortuna, CA 95540-2430 | 2020-04-22 |
| 1760012959 | Mylea N Wiley Md Inc. | Hospitalist | 6246 N 1st St. Ste 101, Fresno, CA 93710-5480 | 2020-01-16 |
| 1972152072 | The Hospitalist Group, LLC | Hospitalist | 5150 E Pacific Coast Hwy Ste 500, Long Beach, CA 90804-3328 | 2019-09-10 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1871025957 | Saba Arshad | Hospitalist | 30924 Granger Ave, Union City, CA 94587-1621 | 2017-03-29 |
| 1124481098 | Clari Nguyen | Hospitalist | 9455 Clairemont Mesa Blvd # Ca92123, San Diego, CA 92123-1297 | 2016-03-30 |
| 1427410539 | Vrs Enterprises LLC | Hospitalist | 2088 Westminster Dr, Riverside, CA 92506-5526 | 2016-03-28 |
| 1912378324 | Huntington Specialist & Nursing Corporation | Hospitalist | 517 S Myrtle Ave, 101, Monrovia, CA 91016-2825 | 2015-10-12 |
| 1639551435 | Jaafar Al-dahwi | Hospitalist | 847 Lemieux Ln, Clovis, CA 93619-5702 | 2015-06-29 |
| 1578959318 | Hospitalist Group of Montebello Inc | Hospitalist | 817 S Main St Ste D, Corona, CA 92882-3407 | 2015-04-08 |
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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.