Individual provider · Type 1 NPI

Eunice Jill Canonizado Phan, MSN, FNP-BC, FNP-C

Nurse Practitioner · Tustin, CA

NPI number 1558024570 Active

Practice location

661 W 1st St Ste G
Tustin, CA 92780-2939

Call (714) 665-9890 Map

Fax (714) 665-9891

Mailing address

1818 S State College Blvd Unit 248
Anaheim, CA 92806-8908

Other practice locations

  • 11180 Warner Ave Ste 353, Fountain Valley, CA 92708-7516 · (714) 968-6789
  • 9918 Katella Ave Ste A-C, Anaheim, CA 92804-6465 · (714) 644-9494
  • 1818 S State College Blvd, Anaheim, CA 92806-6053 · (619) 208-6882

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP95018278 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1558024570

Eunice Jill Canonizado Phan, MSN, FNP-BC, FNP-C's National Provider Identifier is 1558024570, issued on Oct 17, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tustin, CA. The record was last updated on Oct 22, 2025.