Individual provider · Type 1 NPI

Callandra Phan, DMD

Student in an Organized Health Care Education/Training Program · La Puente, CA

NPI number 1043199201 Active

Practice location

533 Giano Ave
La Puente, CA 91744-5816

Call (626) 678-5186 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043199201

Callandra Phan, DMD's National Provider Identifier is 1043199201, issued on Aug 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Puente, CA. The record was last updated on Aug 30, 2025.