Individual provider · Type 1 NPI

Kimberly Yu Phan, MD

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

NPI number 1508176777 Active

Practice location

4860 Y Street Suite 3800, Uc Davis Health System
Sacramento, CA 95817

Call (916) 734-5292 Map

Mailing address

13980 Blossom Hill Rd, Ste B
Los Gatos, CA 95032-5121

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
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 1508176777

Kimberly Yu Phan, MD's National Provider Identifier is 1508176777, issued on Oct 20, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Feb 11, 2022.