Individual provider · Type 1 NPI

Mary Nhung Hoai Phan

Physician Assistant · Cerritos, CA

NPI number 1396610341 Active

Practice location

17100 Norwalk Blvd Ste 101
Cerritos, CA 90703-2750

Call (562) 232-9420 Map

Mailing address

9801 Belvedere Rd
Royal Palm Beach, FL 33411-3640

Other practice locations

9801 Belvedere Rd, Royal Palm Beach, FL 33411-3640 · (561) 273-6500

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	9120846 (FL)

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 1396610341

Mary Nhung Hoai Phan's National Provider Identifier is 1396610341, issued on Oct 9, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cerritos, CA. The record was last updated on Dec 8, 2025.