Individual provider · Type 1 NPI

Jamie Phan Phung, PA-C

Physician Assistant · Ontario, CA

NPI number 1386590974 Active

Practice location

1110 E Philadelphia St Unit 1311
Ontario, CA 91761-4814

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 1386590974

Jamie Phan Phung, PA-C's National Provider Identifier is 1386590974, issued on Mar 6, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ontario, CA. The record was last updated on Mar 6, 2026.