Individual provider · Type 1 NPI

Austin Khai Phan

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

NPI number 1750237202 Active

Practice location

5460 E La Palma Ave
Anaheim, CA 92807-2023

Call (714) 463-7500 Map

Mailing address

3475 Marsh Creek Way
Elk Grove, CA 95758-4656

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1750237202

Austin Khai Phan's National Provider Identifier is 1750237202, issued on Mar 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Anaheim, CA. The record was last updated on Mar 7, 2026.