Individual provider · Type 1 NPI

Tiffany Phan

Physician Assistant · San Diego, CA

NPI number 1194650101 Active

Practice location

7280 Canyon Breeze Rd
San Diego, CA 92126-2067

Call (858) 231-6650 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194650101

Tiffany Phan's National Provider Identifier is 1194650101, issued on Jun 13, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Diego, CA. The record was last updated on Jun 13, 2026.