Individual provider · Type 1 NPI

Priscilla Phan, DO

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

NPI number 1629770201 Active

Practice location

8723 Alden Dr Ste 290
Los Angeles, CA 90048-3692

Call (310) 385-3228 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X20A25400 (CA)

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 1629770201

Priscilla Phan, DO's National Provider Identifier is 1629770201, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 10, 2026.