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MAI TUYET PHAN MEDICAL CLINIC A PROFESSIONAL CORPORATION
NPI 1588969026
Clinic/Center - Health Service in Reseda, CA

Active since January 13, 2011CLIA 05D0906648 · Microscopy
18625 SHERMAN WAY, SUITE 104, RESEDA, CA 91335(818) 342-8171 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mai Tuyet Phan Medical Clinic A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAI TUYET PHAN MEDICAL CLINIC A PROFESSIONAL CORPORATION (NPI 1588969026) is a healthcare organization registered as a health service in Reseda, California and active in the NPI registry since January 2011. The organization holds a CLIA Microscopy certificate valid through February 28, 2027 and lists Mai Tuyet Phan, M.d., as its authorized official.

NPPES Registry Identity

NPI1588969026
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMAI TUYET PHAN MEDICAL CLINIC A PROFESSIONAL CORPORATION
Location Address18625 SHERMAN WAY, SUITE 104Reseda, CA 91335-4148
Mailing Address18625 Sherman Way, Suite 104Reseda, CA 91335-4148
Phone(818) 342-8171
Organization SubpartNo
Authorized OfficialMai Tuyet PhanM.d. · (818) 342-8171
Enumeration DateJanuary 13, 2011
Last NPPES UpdateOctober 7, 2011
✔ NPI 1588969026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in CA · A51466
18625 SHERMAN WAY, Reseda, CA 91335
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING02228CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0906648

Mai Tuyet Phan Medical Clinic · Reseda, CA
Active · expires Feb 28, 2027
CLIA Number05D0906648
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorMai T. Phan
Laboratory Phone(818) 342-8171
Laboratory LocationMai Tuyet Phan Medical Clinic18625 Sherman Way, Suite 104, Reseda, CA 91335
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CURERX COMPOUNDING PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
18625 SHERMAN WAY, SUITE 107
RESEDA, CA 91335
Los Angeles County (818) 881-2998
DR. MAI TUYET PHAN M.D.
Internal Medicine
18625 SHERMAN WAY, SUITE #104
RESEDA, CA 91335
Los Angeles County (818) 342-8171
BETTY HUYNH NP
Nurse Practitioner (Family)
18625 SHERMAN WAY, SUITE 104
RESEDA, CA 91335
Los Angeles County (818) 342-8171
ALL YOUR NEEDS HEALTHCARE PRODUCTSM, INC.
Durable Medical Equipment & Medical Supplies
18625 SHERMAN WAY, SUITE 106
RESEDA, CA 91335
Los Angeles County (818) 342-3901
TNH INC.
Pharmacy (Community/Retail Pharmacy)
18625 SHERMAN WAY, STE 107
RESEDA, CA 91335
Los Angeles County (818) 881-2998
AGNES BAHNG MD
Internal Medicine
18625 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 342-8171
DR. CHRISTOPHER HUYNH M.D.
Anesthesiology
18625 SHERMAN WAY, SUITE 104
RESEDA, CA 91335
Los Angeles County (818) 342-8171
DR. STEPHANIE THU LE D.C.
Chiropractor
18625 SHERMAN WAY, SUITE 109
RESEDA, CA 91335
Los Angeles County (818) 345-0999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mai Tuyet Phan Medical Clinic A Professional Corporation's NPI number?

The NPI number for Mai Tuyet Phan Medical Clinic A Professional Corporation is 1588969026. It was assigned to this organization in the NPPES registry on January 13, 2011.

Where is Mai Tuyet Phan Medical Clinic A Professional Corporation located?

Mai Tuyet Phan Medical Clinic A Professional Corporation is located at 18625 Sherman Way Suite 104, Reseda, CA 91335. The listed phone number is (818) 342-8171.

What is Mai Tuyet Phan Medical Clinic A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Mai Tuyet Phan Medical Clinic A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0906648) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mai Tuyet Phan Medical Clinic A Professional Corporation was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.