Tammy Tu Phan | Fresno, CA • PECOS Search

Tammy Tu Phan

Student in an Organized Health Care Education/Training Program

Student, Health Care

1303 E Herndon Ave, Fresno, CA 93720-3309

(559) 450-3000 (714) 548-1732

PECOS Enrollment

Based on the most recent information from CMS, provider Tammy Tu Phan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1083318570
Provider Type
Individual
Full Name
Phan, Tammy Tu
Title
Dr.
Credential
MD, MS

Gender
Female
Sole Proprietor
No
Enumeration Date
3/28/2023
Last Updated
3/28/2023

Contact Information

Practice Location

1303 E Herndon Ave, Fresno, CA 93720-3309

Unlisted Fax

Mailing Location

9381 Sabre Ln, Westminster, CA 92683-5616

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer