The Tai Phan

DDS, MD | Oral and Maxillofacial Surgeon



  
  11200 Corbin Ave, Suite #208, Porter Ranch
  California, 91326-4120

  818-368-8522    Maps & Directions
The Tai Phan is a Porter Ranch, California based Oral and Maxillofacial Surgeon who is specialized in Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of The Tai Phan is 55427 for Oral and Maxillofacial Surgery in California. His current practice location is 11200 Corbin Ave, Suite #208, Porter Ranch. Patients can reach him at 818-368-8522.
The Tai Phan deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
The Tai Phan speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: The Tai Phan
Specialization: Oral and Maxillofacial Surgeon
Gender:Male
Credentials: DDS, MD
Accepts Medicare Assignment:No
Practice Address:11200 Corbin Ave, Suite #208, Porter Ranch,
California, 91326-4120
Phone:818-368-8522
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1407186562
NPI Enumeration Date: 12 Jan, 2010
NPI Last Update On: 23 Jun, 2012

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Tai Phan are as mentioned below.
License NumberSpecializationStateStatus
55427Oral and Maxillofacial Surgery CaliforniaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 25 Cymbidium Cir,
South San Francisco, California
Zip: 94080-2266
Patients can reach The Tai Phan at 11200 Corbin Ave, Suite #208, Porter Ranch, California or can call to book an appointment on 818-368-8522. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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