LAURA T PHAN


Address: 15055 Los Gatos Blvd, Suite 320, Los Gatos, CA 95032-2083
Phone: 6505875000

LAURA T PHAN (NPI# 1538366984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538366984
Entity Type Individual
Full Name LAURA T PHAN
Credential MD
Practice Address 15055 Los Gatos Blvd
Suite 320
Los Gatos
CA 95032-2083
Practice Telephone 6505875000
Mailing Telephone 6505875000
Enumeration Date 2007-06-29
Last Update Date 2017-03-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology A126463 CA Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology D72821 MD Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology 4301097337 MI Allopathic & Osteopathic Physicians
Y 207WX0200X Ophthalmology
Specialization: Ophthalmic Plastic and Reconstructive Surgery
A126463 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 047445200 05

Other Providers LAURA PHAN

NPI Name Taxonomy Address Enumeration
1376996454 Laura Ann Phan Pharmacist 213 Quarry Rd, Room 2726a, Palo Alto, CA 94304-1416 2016-07-13

Office Location

Street Address 15055 LOS GATOS BLVD
SUITE 320
City LOS GATOS
State CA
Zip Code 95032-2083

Providers in the same location

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
1174957765 Laura Phan, Md, Inc Clinic/Center 15055 Los Gatos Blvd, Suite 320, Los Gatos, CA 95032-2083 2013-08-30
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
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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207WX0200X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Ophthalmic Plastic and Reconstructive Surgery

Taxonomy Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366941296 Guy G Massry, Md Ophthalmology 150 N Robertson Blvd Ste 314, Beverly Hills, CA 90211-2145 2018-02-06
1316483225 Catherine Cox, Md, Inc Ophthalmology 711 D St Ste 102, San Rafael, CA 94901-3703 2017-01-17
1841734084 Marlon Maus Ophthalmology 2616 Etna St, Berkeley, CA 94704-3409 2016-12-07
1538399761 California Eye and Facial Plastic Surgery Ophthalmology 1812 Port Abbey Pl, Newport Beach, CA 92660-5310 2009-07-22
1790943355 Roya Ghafouri Ophthalmology 9735 Wilshire Blvd Ste 421, Beverly Hills, CA 90212-2113 2008-05-29
1134395205 Jeffrey Joseph Ophthalmology 180 Newport Center Dr Ste 158, Newport Beach, CA 92660-0934 2008-05-07
1013940519 Medical Vision Technology Ophthalmology Grp Inc. Ophthalmology 1700 Alhambra Blvd, Suite 202, Sacramento, CA 95816-7050 2006-07-08
1609809144 Medical Vision Technology Ophthalmology Grp, Inc Ophthalmology 1830 Sierra Gardens Dr, Suite 100, Roseville, CA 95661-2942 2006-07-08
1841292257 Jeremiah Tao Ophthalmology 850 Health Sciences Rd, Irvine, CA 92697-4375 2005-08-15
1053938175 Kelsey Andrea Roelofs Ophthalmology 100 Stein Plz, Los Angeles, CA 90095-7065 2020-07-06
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Competitor

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City LOS GATOS
Zip Code 95032

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Dataset Information

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.

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