Cong T Phan


Address: 8235 Rochester Ave, Suite 110 120, Rancho Cucamonga, CA 91730-0718

Cong T Phan (NPI# 1386778033, PAC ID# 1759364466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1386778033
PAC ID by PECOS 1759364466
Professional Enrollment ID I20040720000815
Full Name Cong T Phan
Address 8235 Rochester Ave
Suite 110 120
Rancho Cucamonga
CA 91730-0718
Gender M
Credential MD
Medical School ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year 2000
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050099 SAN ANTONIO REGIONAL HOSPITAL

Other Locations

Address Phone Organization
8235 Rochester Ave, Suite 110 120, Rancho Cucamonga, CA 91730-0718

Organization Information

Office Location

Street Address 8235 ROCHESTER AVE
SUITE 110 120
City RANCHO CUCAMONGA
State CA
Zip 91730-0718

Physicians in the same location

Name Specialty Organization Address
Viet Duy Ta Family Medicine 8235 Rochester Ave, Suite 110, Rancho Cucamonga, CA 91730-0719

Physicians in the same zip code

Name Specialty Organization Address
Charles L Taylor Diagnostic Radiology 102722 Arrow Route, Suite 520, Rancho Cucamonga, CA 91730
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James M Tatum Optometry 10165 Foothill Blvd, Suite 6, Rancho Cucamonga, CA 91730-0341
Kiran N Setty Podiatry 10220 Foothill Blvd, Suite 4302, Rancho Cucamonga, CA 91730-0349
Justin D Jette Physical Therapy Team Physical Therapy, Inc. 10590 Town Ctr Dr, Suite 100, Rancho Cucamonga, CA 91730-0361
Jeffrey T Bekendam Physical Therapy Team Physical Therapy, Inc. 10590 Town Ctr Dr, Suite 100, Rancho Cucamonga, CA 91730-0361
Natalie M Winblad Physical Therapy Team Physical Therapy, Inc. 10590 Town Ctr Dr, Suite 100, Rancho Cucamonga, CA 91730-0361
Benjamin D Duncan Physical Therapy Team Physical Therapy, Inc. 10590 Town Ctr Dr, Suite 100, Rancho Cucamonga, CA 91730-0361
Nariba K Maycock Gibson Physical Therapy Team Physical Therapy, Inc. 10590 Town Ctr Dr, Suite 100, Rancho Cucamonga, CA 91730-0361
Nicholas W Price Physical Therapy Team Physical Therapy, Inc. 10590 Town Ctr Dr, Suite 100, Rancho Cucamonga, CA 91730-0361
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Competitor

Search similar physicians

City RANCHO CUCAMONGA
Zip Code 91730
Specialty INTERNAL MEDICINE
City + Specialty RANCHO CUCAMONGA + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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