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Jeanine Phan

Family Doctor - Geriatric Medicine

275 Hospital Pkwy Suite 325
San Jose , California 95119-1106

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Image

Jeanine Phan

Family Doctor - Geriatric Medicine

275 Hospital Pkwy Suite 325
San Jose , California 95119-1106

(408) 972-3000

Write a Review Save Call

Jeanine Phan

Family Doctor - Geriatric Medicine

275 Hospital Pkwy Suite 325
San Jose , California 95119-1106

(408) 972-3000 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Geriatric Medicine

Languages spoken

  • English

Location

275 Hospital Pkwy Suite 325 San Jose , California 95119-1106

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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FAQs


Where did Jeanine Phan attend graduate school?

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Where did Jeanine Phan do her residency?

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Where did Jeanine Phan do her fellowship?

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Is Jeanine Phan board certified?

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What type of doctor is Jeanine Phan

Family Doctor - Geriatric Medicine

In what state does Jeanine Phan practice in?

California

Where is Jeanine Phan ’s practice located?

275 Hospital Pkwy Suite 325 , San Jose, California, 95119-1106

What is Jeanine Phan ’s gender?

Female

Is Jeanine Phan a sole practitioner?

No

Is Jeanine Phan accepting new patients?

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What languages does Jeanine Phan speak?

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Does Jeanine Phan accept insurance?

Yes, Jeanine Phan accepts insurance

Does Jeanine Phan offers telemedicine?

Jeanine Phan has not indicated if she offers telemedicine

What is Jeanine Phan ’s professional license number?

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What is Jeanine Phan ’s NPI number?

1083994487

Does Jeanine Phan have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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