Individual provider · Type 1 NPI

Michael Long Phan

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

NPI number 1093561003 Active

Practice location

28062 Baxter Rd
Murrieta, CA 92563-1401

Call (951) 290-4190 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 1093561003

Michael Long Phan's National Provider Identifier is 1093561003, issued on Apr 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Murrieta, CA. The record was last updated on May 10, 2026.