Individual provider · Type 1 NPI

Amanda Quynh Phan

Pediatrics Physician · Porter Ranch, CA

NPI number 1629773288 Active

Practice location

20179 Rinaldi St Ste 100
Porter Ranch, CA 91326-4935

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

  • 11234 Anderson St, Loma Linda, CA 92354-2804 · (909) 558-4174

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X20A24933 (CA)
Pediatrics Physician 208000000XTLL-2026-004 (GU)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1629773288

Amanda Quynh Phan's National Provider Identifier is 1629773288, issued on Apr 3, 2023. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Porter Ranch, CA. The record was last updated on Oct 23, 2026.