Individual provider · Type 1 NPI

Brendan Mackenzie Phares

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

NPI number 1942138573 Active

Practice location

1 Shields Ave
Davis, CA 95616-5200

Call (530) 752-1011 Map

Mailing address

2519 Vanderbilt Ln Unit 1
Redondo Beach, CA 90278-3472

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 1942138573

Brendan Mackenzie Phares's National Provider Identifier is 1942138573, issued on May 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Davis, CA. The record was last updated on May 13, 2026.