Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A46495 | CA |
NPI | 1043276405 |
---|---|
Provider Name | Dr. Nabil A Phillips |
First Address | Santa Ana, CA 92705-3509 |
Second Address | Santa Ana, CA 92705-3509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 23/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A464950 | (05) | CA |
E34898 | (02) | GA |