DR. CU NGOC PHAN (NPI# 1417003633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417003633 |
| Entity Type | Individual |
| Full Name | DR. CU NGOC PHAN |
| Credential | M.D. |
| Practice Address |
400 Newport Center Dr Ste 409 Newport Beach CA 92660-7697 |
| Practice Telephone | 9497184315 |
| Practice Fax Number | 9497184316 |
| Mailing Telephone | 9497184315 |
| Mailing Fax Number | 9497184316 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2013-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | G064457 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
400 NEWPORT CENTER DR STE 409 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871877134 | Paul Deridder | Urology | 4108 River Ave, Newport Beach, CA 92663-2915 | 2011-10-05 |
| 1992992143 | Robert J. Bae, M.d., A Medical Corporation | Urology | 1401 Avocado Ave Ste 602, Newport Beach, CA 92660-7715 | 2007-10-02 |
| 1902846629 | Jill Gerspach Byers | Urology | 320 Superior Ave Ste 110, Newport Beach, CA 92663-2740 | 2006-06-08 |
| 1356826689 | Newport Urologic Oncology A Medical Group | Urology | 1525 Superior Ave Ste 210, Newport Beach, CA 92663-3656 | 2018-10-02 |
| 1982199584 | Adam Blatt Md Inc | Urology | 1401 Avocado Ave Ste 602, Newport Beach, CA 92660-7715 | 2018-06-26 |
| 1801337613 | Greg Barme Md Inc. | Urology | 1401 Avocado Ave, #608, Newport Beach, CA 92660-7720 | 2017-03-13 |
| 1982978805 | Urology Care Center | Urology | 1441 Avocado Ave, Suite 408, Newport Beach, CA 92660-7721 | 2012-02-24 |
| 1942451992 | Adam Michael Blatt | Urology | 1401 Avocado Ave Ste 602, Newport Beach, CA 92660-7715 | 2008-10-08 |
| 1114105947 | Robert Russell Torrey IIi | Urology | 1525 Superior Ave, Suite 210, Newport Beach, CA 92663-3639 | 2008-02-04 |
| 1174718399 | Jeffrey C. Bassett | Urology | 1525 Superior Ave Ste 210, Newport Beach, CA 92663-3656 | 2007-09-11 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on DR. CU NGOC PHAN.
| 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.