Jeanine Phan
Family Doctor - Geriatric Medicine
275 Hospital Pkwy Suite 325
San Jose
, California 95119-1106
Jeanine Phan
Family Doctor - Geriatric Medicine
275 Hospital Pkwy Suite 325
San Jose
, California 95119-1106
(408) 972-3000
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Jeanine Phan
- 275 Hospital Pkwy Suite 325
- San Jose, CA
- Zip : 95119-1106
- Phone : (408) 972-3000
Second Address
- Jeanine Phan
- 275 Hospital Pkwy Suite 325
- San Jose, CA
- Zip : 95119-1106
- Phone : (408) 972-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 20A12447 | CA |
National Provider Identifier
| NPI | 1083994487 |
|---|---|
| Provider Name | Jeanine Phan |
| First Address | San Jose, CA 95119-1106 |
| Second Address | San Jose, CA 95119-1106 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2011 |
| Last Update Date | 15/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.