| Organization Name: | AN LUN PHANG |
| NPI Number: | 1629489968 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AN LUN PHANG (PERFUSIONIST) |
| Mailing Address: | 3481 La Mesa Dr San Carlos |
| State: | CA US |
| Postal Code: | 940704254 |
| Phone Number: | 6503219999 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2014 |
| NPI Last Update Date: | 05/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 242T00000X |
| License Number: | D3171262 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Perfusionist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |