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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 102974 (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.