Individual provider · Type 1 NPI

Son Phan

General Practice Physician · Orange, CA

NPI number 1972669091 Active

Practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

11201 Benton St # 114
Loma Linda, CA 92357-1000

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X102974 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1972669091

Son Phan's National Provider Identifier is 1972669091, issued on Jan 1, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Orange, CA. The record was last updated on Oct 4, 2025.