Individual provider · Type 1 NPI

Jamie Phan, PA-C

Physician Assistant · Marina Del Rey, CA

NPI number 1619600194 Active

Practice location

4551 Glencoe Ave Ste 145
Marina Del Rey, CA 90292-6385

Call (310) 405-0595 Map

Mailing address

3202 Rosemead Pl
Rosemead, CA 91770-2848

Other practice locations

  • 120 W Hellman Ave, Monterey Park, CA 91754-1209 · (626) 282-0261

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X62966 (CA)

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 1619600194

Jamie Phan, PA-C's National Provider Identifier is 1619600194, issued on Jul 2, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Marina Del Rey, CA. The record was last updated on Sep 1, 2026.