Individual provider · Type 1 NPI
Diane Dao Phan, MD
Student in an Organized Health Care Education/Training Program · Riverside, CA
NPI number
1578068474
Active
Practice location
4445 Magnolia Ave., Gme Office
Riverside, CA 92501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
3 other providers at this address
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About NPI 1578068474
Diane Dao Phan, MD's National Provider Identifier is 1578068474, issued on Mar 24, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverside, CA. The record was last updated on Mar 24, 2018.