Individual provider · Type 1 NPI

Kathy Phan

Physician Assistant · Tustin, CA

NPI number 1265077556 Active

Practice location

1451 Irvine Blvd
Tustin, CA 92780-3804

Call (714) 838-8878 Map

Mailing address

6591 La Pat Ct Apt A
Westminster, CA 92683-3647

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA58387 (CA)

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 1265077556

Kathy Phan's National Provider Identifier is 1265077556, issued on Nov 11, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tustin, CA. The record was last updated on Aug 18, 2026.